Rebecca Sue Fuller, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3586 Issued in OR

Practice address

132 E Broadway Ste 301
Eugene, OR 97401-3154

Phone

(541) 579-8644

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rebecca Fuller and Associates

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1720612963
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1013548213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 HARVEY RD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241286",
            "telephone_number": "503-803-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY STE 301",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013154",
            "telephone_number": "541-579-8644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Harvey Rd",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974241286",
            "country_code": "US",
            "telephone_number": "503-803-4867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah R Fuerth, M.D.
• Full Circle Counseling
• Amelia Anne Fuller Jans, CSWA
• Carrie Fuller, BS
• Mercedes Olivia Fuller
• Olivia Marie Fulton, CADC-R, QMHA-R
• Sherion Fulton
• Functional Foundations Pediatric Services
• Functional Foundations Pediatric Therapy PLLC
• Ernest Fung, PSY.D.

• Professional Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.