Xavier Fullerton, LPC-A, CRC
NPI 1215490966 · Mental Health Counselor · Winston Salem, NC
Xavier Fullerton, LPC-A, CRC is a Mental Health Counselor provider in Winston Salem, NC (NPI 1215490966).
Provider details
- NPI number
- 1215490966
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC-A, CRC
- Sex
- Male
- Sole proprietor
- No
- License
- A14556 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Rehabilitation Counselor225C00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 120 Health Center DrAhoskie, NC 27910-8161Phone: (252) 332-3548Fax: (252) 332-1665
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Xavier Fullerton's NPI number?
- Xavier Fullerton's National Provider Identifier (NPI) is 1215490966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Xavier Fullerton's specialty?
- Xavier Fullerton is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Xavier Fullerton located?
- Xavier Fullerton's practice location on file with NPPES is 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185.
- What is Xavier Fullerton's phone number?
- The practice phone number listed in the NPPES registry for Xavier Fullerton is (336) 718-7280.
- Is Xavier Fullerton's NPI active?
- Yes — Xavier Fullerton's NPI (1215490966) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.