MRS. SUSAN PATRICIA FULLERTON LPCC
NPI 1396123196
Counselor - Professional in Saint Paul, MN

Active since May 12, 2015
2060 CENTRE POINTE BLVD, SAINT PAUL, MN 55120(651) 774-0011(651) 774-0606 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Susan Patricia Fullerton Lpcc NPPES

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

MRS. SUSAN PATRICIA FULLERTON LPCC (NPI 1396123196) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (CC00976) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1396123196
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SUSAN PATRICIA FULLERTONCredential: LPCC
Location Address2060 CENTRE POINTE BLVDSaint Paul, MN 55120-1269
Mailing Address830 Boone Ave NGolden Valley, MN 55427-4568 · (763) 331-3033 · Fax (763) 331-3039
Fax(651) 774-0606
Sole ProprietorNo
Enumeration DateMay 12, 2015
NPI 1396123196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · CC00976
2060 CENTRE POINTE BLVD, Saint Paul, MN 55120

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2060 CENTRE POINTE BLVD
MENDOTA HEIGHTS, MN 55120
Licensed Practical Nurse
2060 CENTRE POINTE BLVD, STE 3
SAINT PAUL, MN 55120
Counselor (Professional)
2060 CENTRE POINTE BLVD
SAINT PAUL, MN 55120
Counselor (Professional)
2060 CENTRE POINTE BLVD, SUITE #3
SAINT PAUL, MN 55120
Registered Nurse
2060 CENTRE POINTE BLVD
SAINT PAUL, MN 55120
Registered Nurse
2060 CENTRE POINTE BLVD
SAINT PAUL, MN 55120
Registered Nurse
2060 CENTRE POINTE BLVD, SUITE 3
SAINT PAUL, MN 55120
Registered Nurse
2060 CENTRE POINTE BLVD, SUITE 3
SAINT PAUL, MN 55120

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 Susan Fullerton's NPI number?

The NPI number for Susan Fullerton is 1396123196. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Susan Fullerton located?

Susan Fullerton practices at 2060 Centre Pointe Blvd, Saint Paul, MN 55120. The listed phone number is (651) 774-0011.

What is Susan Fullerton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Susan Fullerton was last updated on May 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.