Individual provider Active NPI

Angela Fuller, MS, CPC-I

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1811395411
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI0284 Issued in NV
Practice address
850 Mill St Ste 100
Reno, NV 89502-1463
Phone
(775) 538-6700
NPI assigned
Dec 12, 2014
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3671648 ID
Mental Health Counselor 101YM0800X CI0284 NV Primary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X CP1255 NV
Professional Counselor 101YP2500X 14194739-6004 UT

Addresses

Primary practice location

850 Mill St Ste 100
Reno, NV 89502-1463

Mailing address

1041 Warwick Ave
Fallon, NV 89406-3662
Phone (801) 875-3055

Other practice location 1

418 Cheney St
Reno, NV 89502-0912
Phone (775) 348-9047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240415003916 NV Practitioner - Mental Health Counselor 1456790021 Reassigns benefits to 2 organizations
I20241216003079 UT Practitioner - Mental Health Counselor 1456790021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lisa May PLLCGroup PAC ID 0042684771, 12 clinicians
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

10391 Double R Blvd
Reno, NV 89521-5991
Phone (775) 622-4799

3172 N Rainbow Blvd
Suite 1105
Las Vegas, NV 89108-4534
Phone (415) 360-3348

3556 S 5600
1 828
Salt Lake City, UT 84120-2815
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CI0284NVMDMental Health Counselor
3671648IDMDProfessional Counselor
CP1255NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa May PLLC CurrentSince Mar 4, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Sep 28, 2025 Accepting new patients
Brightside Health, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

3172 N Rainbow Blvd
Las Vegas, NV 89108
Phone (702) 801-9628

10391 Double R Blvd
Reno, NV 89521
Phone (775) 247-4902

620 E Plumb Ln
Reno, NV 89502
Phone (775) 420-0556

3556 S 5600 W
#1828
West Valley City, UT 84120
Phone (330) 416-3867

Organizations & group practices 3

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1811395411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 WARWICK AVE",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063662",
            "telephone_number": "801-875-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021463",
            "telephone_number": "775-538-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Cheney St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895020912",
            "country_code": "US",
            "telephone_number": "775-348-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ANGELA",
        "credential": "MS, CPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "3671648",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI0284",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP1255",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "14194739-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.