Active NPI
Sarah Fuller, LPC - 6401223002
- Professional Counselor
- Cadillac, MI
National Provider Identifier
1477176907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401223002
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401223002 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paddock Counseling PLLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.