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: October 25, 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
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

Other Identifiers 1

Other084-520493CO · Employer Identification

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexander Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Alexander Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Fuller reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Fuller accept?

Health plans from Select Health list Alexander Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 19 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.