Kacie Lee Fuller, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R10158 Issued in OR

Practice address

3855 Wolverine St NE BLDG a
Salem, OR 97305-1251

Phone

(971) 375-1523

NPI assigned

Sep 1, 2026

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1265340962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 SE COOPER ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 WOLVERINE ST NE BLDG A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051251",
            "telephone_number": "971-375-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KACIE",
        "middle_name": "LEE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R10158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene H Fu, M.D.
• Karla A Fuerte Victoria
• Elizabeth A Fujii, M.P.H., R.D., L.D.
• Caitlin Gifford Fulk, DMD
• Sandra Danielle Fulkerson Schaeffer, MPH, PA-C
• Louise Ella Fullerton, LPC
• Stephanie Funderburg
• Teresa Furukawa
• Nathan Furumasu
• Eric Furuya, PHARMD

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.