Individual provider Active NPI

Ashley Fuller, LPCCS

  • Professional Counselor
  • Akron, OH
National Provider Identifier
1801395181
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E200195 Issued in OH
Practice address
611 W Market St
Akron, OH 44303-1411
Phone
(330) 996-4600
Fax
(330) 564-9296
NPI assigned
Feb 1, 2018
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1800903 OH
Professional Counselor 101YP2500X E200195 OH Primary

Addresses

Primary practice location

611 W Market St
Akron, OH 44303-1411

Mailing address

611 W Market St
Akron, OH 44303-1411
Phone (330) 996-4600

Other practice location 1

3922 Lovers Ln
Ravenna, OH 44266-4200
Phone (330) 296-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240927000794 OH Practitioner - Mental Health Counselor 1052842390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OhioguidestoneGroup PAC ID 5597910935, 60 clinicians

Practice addresses (Care Compare)

246 Northland Dr
Suite 140
Medina, OH 44256-3440
Phone (440) 260-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1800903OHMDCounselor
E200195OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Counseling Service of Summit Co Inc CurrentSince Jul 22, 2025 Accepting new patients
Ohioguidestone CurrentSince Oct 2, 2025 Accepting new patients
Ohioguidestone CurrentSince Oct 2, 2025 Accepting new patients
Ohioguidestone Current Accepting new patients
Family Resource Center of Northwest Ohio Inc CurrentSince Jun 6, 2024 Accepting new patients
Pastoral Counseling Service of Summit County PastSince Jul 22, 2025 Accepting new patients

Locations

611 W Market St
Akron, OH 44303
Phone (330) 996-4600

202 E Bagley Rd
Berea, OH 44017
Phone (800) 234-2006

1941 Carlin St
Findlay, OH 45840
Phone (419) 422-3711

530 S Main St
Lima, OH 45804
Phone (419) 222-1168

246 Northland Dr
Ste 140
Medina, OH 44256
Phone (330) 723-9600

Organizations & group practices 6

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1801395181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031411",
            "telephone_number": "330-996-4600",
            "fax_number": "330-564-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031411",
            "telephone_number": "330-996-4600",
            "fax_number": "330-564-9296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3922 Lovers Ln",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442664200",
            "country_code": "US",
            "telephone_number": "330-296-3555",
            "fax_number": "330-235-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ASHLEY",
        "credential": "LPCCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "1800903",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E200195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.