Active NPI
Angela Fuller, MS, CPC-I
- Mental Health Counselor
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CI0284
- Practice address
- 850 Mill St Ste 100
Reno, NV 89502-1463 - Phone
- (775) 538-6700
- NPI assigned
- Dec 12, 2014
- Last updated
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CI0284 | NV | MD | Mental Health Counselor |
| 3671648 | ID | MD | Professional Counselor |
| CP1255 | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa May PLLC | Current | Accepting new patients | |
| Brightside Medical, P.C. | Current | Accepting new patients | |
| Brightside Health, Inc. | Current | 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.
-
- Clinical Social Worker
- Reno, NV
- NPI 1902562648
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.