Jennifer D. Fuller, L.P.C., C.A.C. II
NPI 1861784571ActiveIndividual· Counselor, Mental Health· Lafayette, CO
Counselor, Mental Health (L.P.C., C.A.C. II) with Talkspace Provider Network Co, PC, practicing in Lafayette, Colorado. Enrolled in Medicare as practitioner - mental health counselor and practitioner - mental health counselor.
Overview
| NPI | 1861784571 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.P.C., C.A.C. II |
| Sole proprietor | No |
| NPI issued | May 12, 2011 |
| Last updated in NPPES | Sep 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 5780 | CO |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 7203 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CO); Practitioner - Mental Health Counselor (ID); Practitioner - Mental Health Counselor (WA) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Talkspace Provider Network Co, PCColorado Springs, CO · 5 clinicians
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