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PAMELA FULLERTON M.A., M.ED., LCPC
NPI 1881364206
Counselor - Professional in Chicago, IL

Active since September 16, 2021PECOS Enrolled
7132 N HARLEM AVE STE 102, CHICAGO, IL 60631(847) 701-4533 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2023, Jul 30, 2022, Sep 16, 2021 (3 updates tracked since 2021).

About Pamela Fullerton M.a., M.ed., Lcpc NPPES

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

PAMELA FULLERTON M.A., M.ED., LCPC (NPI 1881364206) is an individual professional provider in Chicago, Illinois and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881364206
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePAMELA FULLERTONCredential: M.A., M.ED., LCPC
Location Address7132 N HARLEM AVE STE 102Chicago, IL 60631-1086
Mailing Address7132 N Harlem Ave Ste 102Chicago, IL 60631-1086 · (847) 701-4533
Phone(847) 701-4533
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 16, 2021
Last NPPES UpdateApril 6, 20233 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1881364206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
7132 N HARLEM AVE STE 102, Chicago, IL 60631
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Fullerton M.a., M.ed., Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698204907
PECOS Enrollment IDI20250130002284
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 4

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

SAMANTHA RIVERA MS, LPC, NCC
Counselor
7132 N HARLEM AVE STE 102
CHICAGO, IL 60631
Cook County (224) 764-0871
ADVOCACY & EDUCATION CONSULTING PLLC
Counselor (Mental Health)
7132 N HARLEM AVE STE 102
CHICAGO, IL 60631
Cook County (847) 701-4533
CRISTINA DAMARIS FAUSTO LCSW
Social Worker (Clinical)
7132 N HARLEM AVE STE 102
CHICAGO, IL 60631
Cook County (773) 417-0352
SATORI PSYCHOTHERAPY
Counselor (Professional)
7132 N HARLEM AVE STE 102
CHICAGO, IL 60631
Cook County (847) 859-9197

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 Pamela Fullerton's NPI number?

The NPI number for Pamela Fullerton is 1881364206. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Pamela Fullerton located?

Pamela Fullerton practices at 7132 N Harlem Ave Ste 102, Chicago, IL 60631. The listed phone number is (847) 701-4533.

What is Pamela Fullerton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Pamela Fullerton enrolled in Medicare?

Yes. Pamela Fullerton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pamela Fullerton was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.