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KEILA FULKERSON LPCC
NPI 1912446535
Counselor - Professional in Prestonsburg, KY

Active since February 15, 2017PECOS EnrolledAccepts Medicare Assignment
104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2021, Feb 15, 2017 (2 updates tracked since 2017).

About Keila Fulkerson Lpcc NPPES

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

KEILA FULKERSON LPCC (NPI 1912446535) is an individual professional provider in Prestonsburg, Kentucky, licensed in Kentucky (269359) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912446535
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKEILA FULKERSONCredential: LPCC
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 15, 2017
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1912446535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 269359
104 S FRONT AVE, Prestonsburg, KY 41653
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keila Fulkerson Lpcc 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 ID7517319064
PECOS Enrollment IDI20240119002236
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Keila Fulkerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain Comprehensive Care Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
104 S FRONT AVE
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
NPI 1023517679 (606) 886-8572
Kentucky Counseling Center, LLC
166 mi
Counselor
1169 EASTERN PKWY STE 3328
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 201 clinicians in this Medicare group
NPI 1932590338 (855) 591-0092

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

PETER SMITHWICK OLIVER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
PHILLIP CAUDILL
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
RACHAEL WILLOUGHBY
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
BRITTANY SANDERS
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
DONNA CRIDER
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
ANDREA HURLEY
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
AMY KNOTT
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
CHELSEA GOBLE
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572

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 Keila Fulkerson's NPI number?

The NPI number for Keila Fulkerson is 1912446535. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Keila Fulkerson located?

Keila Fulkerson practices at 104 S Front Ave, Prestonsburg, KY 41653. The listed phone number is (606) 886-8572.

What is Keila Fulkerson's specialty?

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

Is Keila Fulkerson enrolled in Medicare?

Yes. Keila Fulkerson 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.

Which organizations bill Medicare for Keila Fulkerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keila Fulkerson reassigns Medicare benefits to 2 organizations: Mountain Comprehensive Care Center, Inc. (Prestonsburg, KY) and Kentucky Counseling Center, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keila Fulkerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keila Fulkerson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Keila Fulkerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keila Fulkerson was last updated on March 25, 2021. 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.