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FRED D FULLER MA, LMFT
NPI 1659720431
Marriage & Family Therapist in Fort Collins, CO

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
3500 JFK PKWY STE 210, FORT COLLINS, CO 80525(970) 413-3406(970) 372-1068 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2017, Jun 13, 2016 (2 updates tracked since 2016).

About Fred D Fuller Ma, Lmft NPPES

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

FRED D FULLER MA, LMFT (NPI 1659720431) is an individual marriage & family therapist in Fort Collins, Colorado, licensed in Colorado (160) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1659720431
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameFRED D FULLERCredential: MA, LMFT
Location Address3500 JFK PKWY STE 210Fort Collins, CO 80525-2635
Mailing Address3500 Jfk Pkwy Ste 210306eFort Collins, CO 80525-2635 · (970) 413-3406 · Fax (970) 372-1068
Phone(970) 413-3406
Fax(970) 372-1068
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJune 13, 2016
Last NPPES UpdateDecember 12, 20172 updates tracked since enumeration
✔ NPI 1659720431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CO · 160
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3500 JFK PKWY STE 210, Fort Collins, CO 80525
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Other Identifiers 1

Medicaid9000149996CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fred D Fuller Ma, Lmft 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.

PECOS PAC ID5193082964
PECOS Enrollment IDI20240802002578
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 Fred Fuller's NPI number?

The NPI number for Fred Fuller is 1659720431. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Fred Fuller located?

Fred Fuller practices at 3500 Jfk Pkwy Ste 210, Fort Collins, CO 80525. The listed phone number is (970) 413-3406.

What is Fred Fuller's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Fred Fuller enrolled in Medicare?

Yes. Fred Fuller 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.

What insurance does Fred Fuller accept?

Health plans from Providence Health Plan list Fred 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 Fred Fuller was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.