Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Michelle Lynn Fulkerson, MHC

Individual provider Mental Health Counselor · NPI 1457197683

Mrs. Michelle Lynn Fulkerson, MHC is a Mental Health Counselor in Ithaca, New York. Qualified in 2024, 2 years ago. Practices with Tompkins County, a 19-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

201 E Green St
Ithaca, NY 14850-5635
Phone: (607) 274-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 017601 (NY)

Record details

NPI number1457197683
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tompkins County — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ithaca