Individual provider Active NPI

Sarah Fuller, LPC - 6401223002

  • Professional Counselor
  • Cadillac, MI
National Provider Identifier
1477176907
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223002 Issued in MI
Practice address
201 N Mitchell St Ste 204
Cadillac, MI 49601-1859
Phone
(231) 884-0028
NPI assigned
May 19, 2020
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401223002 MI
Mental Health Counselor 101YM0800X 6401223002 MI
Professional Counselor 101YP2500X 6401223002 MI Primary

Addresses

Primary practice location

201 N Mitchell St Ste 204
Cadillac, MI 49601-1859

Mailing address

201 N Mitchell St Ste 204
Cadillac, MI 49601-1859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240913000239 MI Practitioner - Mental Health Counselor 4789124074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paddock Counseling PLLCGroup PAC ID 7517498728, 5 clinicians

Practice addresses (Care Compare)

201 N Mitchell St
Suite 204
Cadillac, MI 49601-1859
Phone (231) 884-0028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401223002MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paddock Counseling PLLC Professional CurrentSince Jul 22, 2024 Accepting new patients

Locations

201 N Mitchell St
Ste 204
Cadillac, MI 49601
Phone (231) 409-8622

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1477176907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MITCHELL ST STE 204",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MITCHELL ST STE 204",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011859",
            "telephone_number": "231-884-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "SARAH",
        "credential": "LPC - 6401223002",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401223002",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223002",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.