Individual provider Active NPI

Wendy Fuller, LPCC

  • Mental Health Counselor
  • Perrysburg, OH
National Provider Identifier
1871149641
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2202689 Issued in OH
Practice address
1070 Commerce Dr BLDG 1
Perrysburg, OH 43551-5236
Phone
(419) 482-8382
NPI assigned
Aug 16, 2019
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2202689 OH Primary

Addresses

Primary practice location

1070 Commerce Dr BLDG 1
Perrysburg, OH 43551-5236

Mailing address

1070 Commerce Dr BLDG 1
Perrysburg, OH 43551-5236

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
I20260514001297 OH Practitioner - Mental Health Counselor 5799254223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1070 Commerce Dr
Perrysburg, OH 43551-5236

1070 Commerce Dr
BLDG 1
Perrysburg, OH 43551-5229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2202689OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Institute of America Mental Health CurrentSince May 20, 2026 Accepting new patients
Premiere Counseling Services, LLC CurrentSince May 20, 2026 Accepting new patients

Locations

1070 Commerce Dr
Ste 101
Perrysburg, OH 43551
Phone (419) 461-1983

Organizations & group practices 2

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1871149641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DR BLDG 1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DR BLDG 1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515236",
            "telephone_number": "419-482-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "WENDY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.