ALEXANDER D FULLER (MA, LPC) – Mental Health Counselor, NPI 1205966546

ALEXANDER D FULLER (MA, LPC) is a healthcare provider. based in Louisville, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC. The NPI Number for ALEXANDER D FULLER (MA, LPC) is 1205966546

Main info

Male
Sole Proprietor
21 Years Of Experience
Name
ALEXANDER D FULLER (MA, LPC)
NPI
1205966546
Phone
(720) 352-3594
Address
824 PINE ST STE 106
Enumeration Date
6 March 2007
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
1254814924
Professional Enrollment ID
I20260311000606
Address ID
TX753730000DAPOXXXBOXX200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for ALEXANDER D FULLER (MA, LPC)

  • 824 PINE ST STE 106

    LOUISVILLE, CO 800271836

    Phone: (720) 352-3594

    Type: Location

  • 400 E SIMPSON ST

    LAFAYETTE, CO 800262394

    Phone: (303) 665-2670

    Fax: (303) 661-0818

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260311000606IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80027)

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Reviews

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Frequently asked questions

What NPI should I save for ALEXANDER D FULLER (MA, LPC)?
Save NPI 1205966546 if you need a stable reference for ALEXANDER D FULLER (MA, LPC).
Is ALEXANDER D FULLER (MA, LPC) currently active in the NPI registry?
CMS-published data lists ALEXANDER D FULLER (MA, LPC) as an active registrant.
What does ALEXANDER D FULLER (MA, LPC) treat or focus on?
Patients typically see ALEXANDER D FULLER (MA, LPC) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for ALEXANDER D FULLER (MA, LPC)?
The page summarizes Louisville, Colorado for ALEXANDER D FULLER (MA, LPC); expand the address list for detail.
Is ALEXANDER D FULLER (MA, LPC) a real provider?
This page reflects official NPPES data for NPI 1205966546. Always confirm identity and privileges with the practice and licensing boards.

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