| Miss Shelley S Fullenkamp, LSW, LPC | |
|
4761 State Route 29, Celina, OH 45822-8216 | |
| (419) 584-1000 | |
| (419) 584-1825 |
| Full Name | Miss Shelley S Fullenkamp |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 23 Years |
| Location | 4761 State Route 29, Celina, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548410244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C. 0027325 (Ohio) | Primary |
| 104100000X | Social Worker | S. 0027325 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Positive Perspectives Inc | 8527952696 | 5 |
| Entity Name | Positive Perspectives Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124136791 PECOS PAC ID: 8527952696 Enrollment ID: O20040210000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Shelley S Fullenkamp, LSW, LPC 4761 State Route 29, Celina, OH 45822-8216 Ph: (419) 584-1000 | Miss Shelley S Fullenkamp, LSW, LPC 4761 State Route 29, Celina, OH 45822-8216 Ph: (419) 584-1000 |
Isabelle Ringler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4761 State Route 29, Celina, OH 45822 Phone: 419-584-1000 | |
Mrs. Tammy Nunnally, M.S., L.P.C. Counselor Medicare: Accepting Medicare Assignments Practice Location: 316 W Market St, Counseling And Consulting, Inc, Celina, OH 45822 Phone: 419-586-3900 Fax: 419-586-3338 | |
Garrett Forlow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 E Market St, Celina, OH 45822 Phone: 419-584-5123 | |
Daniel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4761 State Route 29, Celina, OH 45822 Phone: 419-584-1000 | |
Felicia Marie Burnett, MS, LPCC-S Counselor Medicare: Accepting Medicare Assignments Practice Location: 401 E. Market St., Celina, OH 45822 Phone: 419-305-7214 Fax: 567-890-7214 | |
Michelle Salazar, LISW-S Counselor Medicare: Accepting Medicare Assignments Practice Location: 401 E. Market St, Celina, OH 45822 Phone: 419-584-5123 Fax: 567-890-7214 | |
Karla Kohler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4761 State Route 29, Celina, OH 45822 Phone: 419-584-1000 |