Jessica Fuller, LIMHP, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3763 Issued in NE

Practice address

7602 Pacific St Ste 102
Omaha, NE 68114-5405

Phone

(402) 680-8280

Fax

(531) 201-3126

NPI assigned

Feb 20, 2019

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 NE

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

Medicare enrollment (NPD)

Enrolled

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.

• Lotus Centre LLC

  • Professional Counselor
  • Omaha, NE
  • NPI 1669363875
  Medicare reassignment NPD
• Lutheran Family Services of NE, Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1639121726
  Medicare reassignment NPD

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1043777576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 PACIFIC ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145405",
            "telephone_number": "402-680-8280",
            "fax_number": "531-201-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 PACIFIC ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145405",
            "telephone_number": "402-680-8280",
            "fax_number": "531-201-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LIMHP, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Fuller, LMHP
• Debra Fuller
• Destane Fuller
• Emily Fuller
• George Fuller
• Jonathan Ellis Fuller, M.D.
• Redgy Fuller, DO
• Shayona Fuller
• Tayler Danyelle Fuller, DDS
• Tyreshia Fuller

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.