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

MS. Kondra Mia Fulmer

Individual provider Mental Health Counselor · NPI 1659304384

MS. Kondra Mia Fulmer is a Mental Health Counselor in Alexandria, Virginia. Qualified in 2001, 25 years ago. Practices with Safe Harbor Behavioral Care LLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
25
Licensed in
MD, VA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

4850 Mark Center Dr
Alexandria, VA 22311-1882
Phone: (703) 746-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 975 N Selomons Island, Prince Frederick, MD 20678 — (410) 535-5400

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701006170 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LC2175 (MD)

Record details

NPI number1659304384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Safe Harbor Behavioral Care Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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