Joan N Fuller, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

901 4TH St
Suite 160
Hudson, WI 54016-1681

Phone

(763) 210-9966

Fax

(763) 210-6886

NPI assigned

Aug 8, 2013

Last updated

Oct 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gulf Coast PsychotherapyGroup PAC ID 0941468011, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulf Coast Psychotherapy

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1992093090
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1023440377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 MALLARD AVE",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540025561",
            "telephone_number": "651-329-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 4TH ST",
            "address_2": "SUITE 160",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161681",
            "telephone_number": "763-210-9966",
            "fax_number": "763-210-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JOAN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann L Frankel, OTR/L
• Megan Fraschen
• Benjamin John Fravel, D.D.S., M.S.
• Susan Kathryn Frederiksen, OTR/L
• Laura Hoyt Fritsche, LPN
• Diane Garves
• Joshua Gibbs
• Allison Gilbert, OTR/L
• Nicole Y. Gilbertson-Wilke, MA, MFT
• Teresa L. Gillen, OTR

• Professional Counselor in Hudson, WI
• Providers in Hudson, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.