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

Nathan James Fullmer, LPC

Individual provider Mental Health Counselor · NPI 1093964041

Nathan James Fullmer, LPC is a Mental Health Counselor in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2008
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

685 1st St
Idaho Falls, ID 83401-4003
Phone: (208) 228-7043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-3902 (ID)

Record details

NPI number1093964041
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 15, 2008
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

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