P Praxis·MD
● Active Type 1 · Individual

Jennie Rebecca Fullmer, LPC

Counselor·Twin Falls, ID· NPI 1720433600 · Enumerated 2016 · 10 years on NPI
Fullmer is 1 of 63 counselor providers in Twin Falls and 1 of 1313 in Idaho.
NPI age
10 years
Enumerated 2016-04-28
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-04-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
10 years
≈ at median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
1363 Fillmore St
Twin Falls, ID 833013392
📞 2087367090fax 2087367089
Mailing address
1363 Fillmore St
Twin Falls, ID 833013392
📞 2087367090fax 2087367089

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPC-6127 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Twin Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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