Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Burton Fullmer, LPC

Individual provider Mental Health Counselor · NPI 1295087112

Burton Fullmer, LPC is a Mental Health Counselor in Salt Lake City, Utah. Qualified in 2003, 23 years ago. Practices with Smile Psychiatry and Behavioral, a 6-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Licensed in
UT
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5689 S Redwood Rd Ste 30
Salt Lake City, UT 84123-5447
Phone: (801) 268-1715
Fax: (801) 268-1783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3785956004 (UT)

Record details

NPI number1295087112
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 3, 2012
Last updated in NPPESOctober 3, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Smile Psychiatry And Behavioral — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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