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ALEXANDER D FULLER MA, LPC
NPI 1205966546
Counselor - Mental Health in Louisville, CO

Active since March 06, 2007PECOS Enrolled
824 PINE ST STE 106, LOUISVILLE, CO 80027(720) 352-3594 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexander D Fuller Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER D FULLER MA, LPC (NPI 1205966546) is an individual mental health provider in Louisville, Colorado and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205966546
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameALEXANDER D FULLERCredential: MA, LPC
Location Address824 PINE ST STE 106Louisville, CO 80027-1836
Mailing Address824 Pine St Ste 106Louisville, CO 80027-1836 · (720) 352-3594
Phone(720) 352-3594
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 6, 2007
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1205966546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
824 PINE ST STE 106, Louisville, CO 80027
Open in Google Maps ↗

Other Identifiers 1

Other084-520493CO · Employer Identification

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander D Fuller Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254814924
PECOS Enrollment IDI20260311000606
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Fuller's NPI number?

The NPI number for Alexander Fuller is 1205966546. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Alexander Fuller located?

Alexander Fuller practices at 824 Pine St Ste 106, Louisville, CO 80027. The listed phone number is (720) 352-3594.

What is Alexander Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alexander Fuller enrolled in Medicare?

Yes. Alexander Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Fuller was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.