EMERICK FULTON
NPI 1750130571
Counselor - Mental Health in Peoria, IL

Active since May 14, 2024PECOS EnrolledAccepts Medicare Assignment
719 W LAKE AVE, PEORIA, IL 61614(309) 408-1493 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emerick Fulton NPPES

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

EMERICK FULTON (NPI 1750130571) is an individual mental health provider in Peoria, Illinois and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750130571
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEMERICK FULTON
Location Address719 W LAKE AVEPeoria, IL 61614-5941
Mailing Address9821 Ashbury CtHanna City, IL 61536-9690 · (309) 253-9579
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
NPI 1750130571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
719 W LAKE AVE, Peoria, IL 61614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emerick Fulton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214461789
PECOS Enrollment IDI20241107000535
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Physical Therapist
719 W LAKE AVE
PEORIA, IL 61614
Counselor (Mental Health)
719 W LAKE AVE
PEORIA, IL 61614
Counselor (Mental Health)
719 W LAKE AVE
PEORIA, IL 61614
Chiropractor
719 W LAKE AVE
PEORIA, IL 61614
Social Worker (Clinical)
719 W LAKE AVE
PEORIA, IL 61614

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 Emerick Fulton's NPI number?

The NPI number for Emerick Fulton is 1750130571. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Emerick Fulton located?

Emerick Fulton practices at 719 W Lake Ave, Peoria, IL 61614. The listed phone number is (309) 408-1493.

What is Emerick Fulton's specialty?

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

Is Emerick Fulton enrolled in Medicare?

Yes. Emerick Fulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emerick Fulton was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.