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QUINCY FULLER
NPI 1699455253
Counselor in Kenai, AK

Active since July 19, 2023
508 UPLAND ST, KENAI, AK 99611(907) 953-3491 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2025, Mar 6, 2025, Dec 20, 2024 and 2 more (5 updates tracked since 2023).

About Quincy Fuller NPPES

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

QUINCY FULLER (NPI 1699455253) is an individual counselor in Kenai, Alaska and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1699455253
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameQUINCY FULLER
Location Address508 UPLAND STKenai, AK 99611-8026
Mailing Address508 Upland StKenai, AK 99611-8026
Phone(907) 953-3491
Sole ProprietorNo
Enumeration DateJuly 19, 2023
Last NPPES UpdateJune 19, 20255 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1699455253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
508 UPLAND ST, Kenai, AK 99611
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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.

GEHRET MITCHELL MEDCOFF
Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
MS. LENA ALLIE ANDREW
Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
RYLEE MAGANA
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
SHIELA DIANNE RILEY ARNP
Nurse Practitioner (Family)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
TANYA ALMARAZ
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
CAYLA SALYERS
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7300
SKYLER SHAY DIEHL
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
DR. MATTHEW DOUGLAS RICHARDS DDS
Dentist
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500

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 Quincy Fuller's NPI number?

The NPI number for Quincy Fuller is 1699455253. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Quincy Fuller located?

Quincy Fuller practices at 508 Upland St, Kenai, AK 99611. The listed phone number is (907) 953-3491.

What is Quincy Fuller's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Quincy Fuller was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.