Jeffrey Ray Fulkerson, LPC, MEd, MS
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2018
- Practice address
- 3920 S Rural Rd Suite 112 Suite 112, Tempe, AZ 85282-5500
- Practice phone
- Call (480) 674-9220
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Revibe Mental Health
Behavioral health practice · Tempe, Arizona
Find Jeffrey Fulkerson's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jeffrey Ray Fulkerson is a professional counselor in Tempe, Arizona
Jeffrey Fulkerson practices at Revibe Mental Health in Tempe, Arizona.
Jeffrey Fulkerson's NPI, 1417457623, was assigned on February 14, 2018. Jeffrey Fulkerson holds Arizona license LPC-21211.
- NPI
- 1417457623NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8820440621
- NPI enumeration date
- February 14, 2018
- NPI status
- Active
- Practice phone
- (480) 674-9220
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 35
- Medical school graduation
- 2017
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Jeffrey Ray Fulkerson practices at Revibe Mental Health in Tempe, Arizona
Jeffrey Fulkerson's primary practice is Revibe Mental Health, at 3920 S Rural Rd Suite 112 Suite 112, Tempe, AZ 85282-5500. The practice phone is (480) 674-9220.
- Revibe Mental Health3920 S Rural Rd Suite 112 Suite 112, Tempe, AZ 85282-5500Phone(480) 674-9220
Source: Dmand AI Affiliation Data
Jeffrey Ray Fulkerson is affiliated with 1 site of care and 1 medical group
Jeffrey Fulkerson's primary practice is Revibe Mental Health in Tempe, Arizona. The medical group on file is reVIBE Mental Health.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Jeffrey Ray Fulkerson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jeffrey Fulkerson practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Revibe Mental Health | Available with a free account |
Source: Dmand AI Technology Install Data
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Jeffrey Ray Fulkerson is one of 903 professional counselors in Arizona
Professional is Jeffrey Fulkerson's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Jeffrey Fulkerson is licensed in Arizona.
Specialties and state licenses
- Professional counselor, ArizonaPrimary
Professional counselors near Jeffrey Fulkerson
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jeffrey Ray Fulkerson's patients have a median age of 37
Across all payers, Dmand AI patient panel data puts Jeffrey Fulkerson's median patient age at 37, with 33% women.
Jeffrey Fulkerson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 37
Patient panel by sex, all payers
- Women33%
- Men66%
Source: Dmand AI Patient Panel Data
Sources for Jeffrey Ray Fulkerson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jeffrey Ray Fulkerson
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jeffrey Ray Fulkerson's NPI number?
Jeffrey Ray Fulkerson's NPI number is 1417457623. It was assigned on February 14, 2018, and it is active in the NPI Registry.
What does Jeffrey Ray Fulkerson specialize in?
Jeffrey Ray Fulkerson is a professional counselor in Tempe, Arizona. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Jeffrey Ray Fulkerson practice?
Jeffrey Fulkerson practices at 3920 S Rural Rd Suite 112 Suite 112, Tempe, AZ 85282-5500. Jeffrey Fulkerson's primary practice is Revibe Mental Health in Tempe, Arizona.
What is Jeffrey Ray Fulkerson's office phone number?
The practice phone on file for Jeffrey Fulkerson is (480) 674-9220.
What is Jeffrey Ray Fulkerson's medical license number?
Jeffrey Fulkerson holds Arizona license LPC-21211.
What medical group is Jeffrey Ray Fulkerson part of?
Jeffrey Fulkerson is linked to reVIBE Mental Health.
How long has Jeffrey Ray Fulkerson been practicing?
Jeffrey Fulkerson graduated from medical school in 2017, 9 years ago.
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