Active NPI
Sarah Fuller, MS
- Professional Counselor
- Greenville, SC
National Provider Identifier
1821493826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6811
- Practice address
- 602 Pettigru St
Greenville, SC 29601 - Phone
- (864) 720-1616
- NPI assigned
- Nov 3, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 6811 | SC | Primary |
Addresses
Primary practice location
602 Pettigru St
Greenville, SC 29601
Mailing address
128 Manchester Dr
Mauldin, SC 29662-1867
Other practice location 1
100 Hillcrest Sq
Suite J
Laurens, SC 29360-2355
Phone (864) 984-2518
Other practice location 2
880 S Pleasantburg Dr Ste 4F
Greenville, SC 29607-2453
Phone (864) 915-8724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821493826 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 4, 2025 through Apr 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6811 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1821493826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 MANCHESTER DR",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296621867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29601",
"telephone_number": "864-720-1616"
}
],
"practiceLocations": [
{
"address_1": "100 Hillcrest Sq",
"address_2": "Suite J",
"address_purpose": "LOCATION",
"city": "Laurens",
"state": "SC",
"postal_code": "293602355",
"country_code": "US",
"telephone_number": "864-984-2518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "880 S Pleasantburg Dr Ste 4F",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296072453",
"country_code": "US",
"telephone_number": "864-915-8724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "SARAH",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821493826",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.