ASHANTA FULMORE
NPI 1861053142
Counselor - Mental Health in Las Vegas, NV

Q: What is Ashanta Fulmore's NPI number?

The NPI number for Ashanta Fulmore is 1861053142. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Q: What is Ashanta Fulmore'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 Ashanta Fulmore was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 26, 2019PECOS Enrolled

7040 LAREDO ST, LAS VEGAS, NV 89117(702) 867-0267 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2026, Dec 2, 2025, Oct 9, 2024 and 2 more (5 updates tracked since 2020).

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About Ashanta Fulmore NPPES

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

ASHANTA FULMORE (NPI 1861053142) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861053142

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameASHANTA FULMORE

Location Address7040 LAREDO STLas Vegas, NV 89117-3000

Mailing Address732 S 6th StLas Vegas, NV 89101-6948

Phone(702) 867-0267

Sole ProprietorNo

Enumeration DateJune 26, 2019

Last NPPES UpdateJune 4, 20265 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1861053142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

7040 LAREDO ST, Las Vegas, NV 89117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashanta Fulmore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14

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

MRS. JODI NISWONGER L.C.S.W.

Social Worker (Clinical)

7040 LAREDO ST, SUITE D
LAS VEGAS, NV 89117

Clark County (702) 898-5311

LIBERTAD LORENZO

Home Health Aide