MS. KONDRA MIA FULMER
NPI 1659304384
Counselor - Professional in Alexandria, VA
About Ms. Kondra Mia Fulmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KONDRA MIA FULMER (NPI 1659304384) is an individual professional provider in Alexandria, Virginia, licensed in Virginia (0701006170) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Prince Frederick, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Ms. Kondra Mia Fulmer 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 Kondra Fulmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alexandria, VA 22311
- Reassigned Medicare billing, District of Columbia enrollment
- 63 clinicians in this Medicare group
Bel Air, MD 21015
- Reassigned Medicare billing, Maryland enrollment
- 131 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALEXANDRIA, VA 22311
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 Kondra Fulmer's NPI number?
The NPI number for Kondra Fulmer is 1659304384. It was assigned to this individual provider in the NPPES registry on July 8, 2006.
Where is Kondra Fulmer located?
Kondra Fulmer practices at 4850 Mark Center Dr, Alexandria, VA 22311. The listed phone number is (703) 746-3400.
What is Kondra Fulmer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kondra Fulmer enrolled in Medicare?
Yes. Kondra Fulmer 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 Kondra Fulmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kondra Fulmer reassigns Medicare benefits to 2 organizations: City Of Alexandria (Alexandria, VA) and Safe Harbor Behavioral Care, LLC (Bel Air, MD). 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 Kondra Fulmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kondra Fulmer was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kondra Mia Fulmer · NPI 1659304384
Professional provider in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1659304384 (Entity type: Individual)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701006170 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4850 MARK CENTER DR, Alexandria, VA 22311-1882
- **Phone:** (703) 746-3400
## 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): City Of Alexandria (NPI 1447279658, Alexandria, VA); Safe Harbor Behavioral Care, LLC (NPI 1316487879, Bel Air, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659304384) · Data from the CMS NPPES public registry.