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

Lauren Fullerton, MA, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134621600

Lauren Fullerton, MA, LADC is a Mental Health Counselor in St Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1821 University Ave W Ste N385
St Paul, MN 55104
Phone: (612) 454-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3696 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304871 (MN)

Record details

NPI number1134621600
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LADC
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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