Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Jeffrey Ray Fulkerson, M ED, MS, LAC, LPC
Professional Counselor in Tempe, AZ · enumerated 2018.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1417457623
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Registry record
Entity type Individual (Type 1)
Name Mr. Jeffrey Ray Fulkerson
Credential M ED, MS, LAC, LPC
Sex Male
Practice address 3920 S Rural Rd Ste 112, Tempe, AZ, 85282
Phone (480) 428-2944
Fax (480) 680-5361
Enumeration date Feb 14, 2018
Last updated in NPPES Dec 22, 2023
Taxonomy & licenses
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License LPC-21211 (AZ) Primary
LAC · Licensed Acupuncturist: A practitioner licensed to perform acupuncture.
About the LAC credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jeffrey Fulkerson?
Jeffrey Fulkerson is registered in NPPES with the primary taxonomy of Professional Counselor. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-22.