Lorie A Fuller, MA, LPC
Individual provider Active NPI Professional Counselor · Gunnison, CO
NPI 1497100473 · NPPES record last updated Dec 28, 2021
Key facts
- NPI
- 1497100473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0014857 (CO)
- Practice address
- 307 N Main St Ste I
Gunnison, CO 81230-2450 - Phone
- (970) 901-0937
- Fax
- (970) 641-4224
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 5, 2024 through Mar 5, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC0104462 | CO | MD | Mental Health Counselor |
| 0014857 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Insight LLC | Professional | Current |
Accepting new patients |
Locations
307 N Main St
Ste I
Gunnison, CO 81230
Phone (970) 901-0937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC0104462 | CO | |
| Professional Counselor | 101YP2500X | 0014857 | CO | Yes |
Addresses
Primary practice location
307 N Main St Ste I
Gunnison, CO 81230-2450
Mailing address
307 N Main St Ste I
Gunnison, CO 81230-2450
Phone (970) 901-0937
Other providers in Gunnison, CO
- Lara Fellows
- Emily Ferrell
- James E Field
- Christina Fortin
- Taren Frazier
- Lauretta F Garren
- William Everett Gattis
- Kara Lynn Gehan
- Austin Ward Withers Gibney
- Caitlyn Gilbert
All providers in Gunnison, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.