DR. MAXINE WILLIFORD FULLER M.A., LPC, ED.D
NPI 1932555711
Counselor - Professional in Birmingham, AL
About Dr. Maxine Williford Fuller M.a., Lpc, Ed.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MAXINE WILLIFORD FULLER M.A., LPC, ED.D (NPI 1932555711) is an individual professional provider in Birmingham, Alabama, licensed in Alabama (2703) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Maxine Williford Fuller M.a., Lpc, Ed.d 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
3Medicare enrollment records show Maxine Fuller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35243
- Reassigned Medicare billing, Alabama enrollment
- 10 clinicians in this Medicare group
Birmingham, AL 35214
- Reassigned Medicare billing, Alabama enrollment
- 3 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Alabama enrollment
- 32 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.
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 Maxine Fuller's NPI number?
The NPI number for Maxine Fuller is 1932555711. It was assigned to this individual provider in the NPPES registry on May 10, 2016.
Where is Maxine Fuller located?
Maxine Fuller practices at 137 Cahaba River Parc, Birmingham, AL 35243. The listed phone number is (205) 914-7174.
What is Maxine Fuller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Maxine Fuller enrolled in Medicare?
Yes. Maxine 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.
Which organizations bill Medicare for Maxine Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maxine Fuller reassigns Medicare benefits to 3 organizations: Insight Therapeutic Services, LLC (Birmingham, AL), Premier Mental Health Services LLC (Birmingham, AL) and Brightside Health, Inc. (San Francisco, CA). 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 Maxine Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maxine Fuller accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Maxine 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 Maxine Fuller was last updated on April 2, 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.
# Dr. Maxine Williford Fuller, M.A., LPC, ED.D · NPI 1932555711
Professional provider in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since May 10, 2016.
## Identity
- **NPI:** 1932555711 (Entity type: Individual)
- **Enumerated:** May 10, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2703 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 137 CAHABA RIVER PARC, Birmingham, AL 35243-3250
- **Phone:** (205) 914-7174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Insight Therapeutic Services, LLC (NPI 1134669922, Birmingham, AL); Premier Mental Health Services LLC (NPI 1043766009, Birmingham, AL); Brightside Health, Inc. (NPI 1073072658, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** April 2, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1932555711) · Data from the CMS NPPES public registry.