BURTON FULLMER LPC
NPI 1295087112
Counselor - Mental Health in Salt Lake City, UT
About Burton Fullmer Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BURTON FULLMER LPC (NPI 1295087112) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (3785956004) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Burton Fullmer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Burton Fullmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Draper, UT 84020
- Reassigned Medicare billing, Utah enrollment
- 13 clinicians in this Medicare group
Draper, UT 84020
- Reassigned Medicare billing, Utah enrollment
- 48 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84123
TAYLORSVILLE, UT 84123
SALT LAKE CITY, UT 84123
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 Burton Fullmer's NPI number?
The NPI number for Burton Fullmer is 1295087112. It was assigned to this individual provider in the NPPES registry on October 3, 2012.
Where is Burton Fullmer located?
Burton Fullmer practices at 5689 S Redwood Rd Suite 30, Salt Lake City, UT 84123. The listed phone number is (801) 268-1715.
What is Burton Fullmer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Burton Fullmer enrolled in Medicare?
Yes. Burton Fullmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Burton Fullmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Burton Fullmer reassigns Medicare benefits to 2 organizations: Smile Psychiatry And Behavioral (Draper, UT) and Deborah A Christensen Phd & Associates, Inc (Draper, UT). Each 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 Burton Fullmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Burton Fullmer accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Burton Fullmer 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 Burton Fullmer was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Burton Fullmer, LPC · NPI 1295087112
Mental Health provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since October 3, 2012.
## Identity
- **NPI:** 1295087112 (Entity type: Individual)
- **Enumerated:** October 3, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 3785956004 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5689 S REDWOOD RD, SUITE 30, Salt Lake City, UT 84123-5447
- **Phone:** (801) 268-1715 · **Fax:** (801) 268-1783
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Smile Psychiatry And Behavioral (NPI 1043970262, Draper, UT); Deborah A Christensen Phd & Associates, Inc (NPI 1891955936, Draper, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** October 3, 2012
- **Other identifiers:** Other 3785956004 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1295087112) · Data from the CMS NPPES public registry.