Active NPI 1699455253 Individual Practitioner Male Practitioner

Quincy Fuller

Counselor • Kenai, AK

Professional Overview & Biography Verified Profile Summary

Quincy Fuller is a registered healthcare professional specializing in Counselor in Kenai, AK. Practice services are available at 508 UPLAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

508 Upland St

Kenai, AK 996118026

Telephone 9079533491

Associated Practice Facility / Clinic

🏢 Kenaitze Indian Tribe Facility NPI 1932114600

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Kenai, AK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Kenai, AK (1191 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-19

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Gehret Medcoff

Community Health Worker

NPI 1003707894

Lena Andrew

Community Health Worker

NPI 1003779034

Rylee Magana

Counselor - Mental Health

NPI 1013851898

Shiela Riley , ARNP

Nurse Practitioner - Family

NPI 1013975523

Advanced Registered Nurse Practitioner

Tanya Almaraz

Counselor - Mental Health

NPI 1023619293

Cayla Salyers

Counselor - Mental Health

NPI 1023672284

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2024

Counselor

✅

NPI Profile Active July 19, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2023

Registered at 508 UPLAND ST, KENAI, AK 996118026 (Tel: 9079533491)

📍

Updated Business Mailing Address July 19, 2023

Registered at 508 UPLAND ST, KENAI, AK 996118026

👤

Provider Name / Credentials Updated July 19, 2023

Recorded as QUINCY FULLER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Behavior Technician

🟢

Initial NPI Registration & Enumeration July 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1699455253

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 19, 2023

Last Update: June 19, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

508 Upland St

Kenai, AK 996118026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.