JOHN PATRICK FULLAM LPC
NPI 1720680945
Counselor - Mental Health in Carbondale, CO

Q: What is John Fullam's NPI number?

The NPI number for John Fullam is 1720680945. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Q: What is John Fullam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for John Fullam was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 12, 2020

725 MAIN ST, CARBONDALE, CO 81623(973) 714-3036 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About John Patrick Fullam Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN PATRICK FULLAM LPC (NPI 1720680945) is an individual mental health provider in Carbondale, Colorado, licensed in Colorado (LPC.0016660) and active in the NPI registry since November 2020. He maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1720680945

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOHN PATRICK FULLAMCredential: LPC

Location Address725 MAIN STCarbondale, CO 81623-1936

Mailing Address811 Main CtCarbondale, CO 81623-1851 · (973) 714-3036

Phone(973) 714-3036

Sole ProprietorYes

Enumeration DateNovember 12, 2020

NPPES CertifiedNovember 12, 2020

✔ NPI 1720680945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CO · LPC.0016660

725 MAIN ST, Carbondale, CO 81623

Open in Google Maps ↗

Secondary Practice Location 1

Location 1811 Main CtCarbondale, CO 81623-1851 · Phone (973) 714-3036

Other Identifiers 1

OtherLPC.0016660CO · State License

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK WHITING YOUNG MA, CAC-II

Counselor (Addiction (Substance Use Disorder))

725 MAIN ST
CARBONDALE, CO 81623

Garfield County (970) 704-9292

ROBERT BELL MA, LPC

Counselor (Addiction (Substance Use Disorder))

725 MAIN ST
CARBONDALE, CO 81623

Garfield County (970) 704-9292

TODD EVAN HERRMANN CAT

Counselor (Addiction (Substance Use Disorder))

725 MAIN ST
CARBONDALE, CO 81623

Garfield County (970) 704-9292

JAYWALKER LODGE INC

Clinic/Center (Rehabilitation, Substance Use Disorder)

725 MAIN ST
CARBONDALE, CO 81623

Garfield County (970) 704-9292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fullam's NPI number?

The NPI number for John Fullam is 1720680945. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is John Fullam located?

John Fullam practices at 725 Main St, Carbondale, CO 81623. The listed phone number is (973) 714-3036.

What is John Fullam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for John Fullam was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.