Full Health Wellness Systems

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FULL HEALTH WELLNESS SYSTEMS

Practice address

100 S Prewitt St
Nevada, MO 64772-1760

Phone

(417) 283-2072

Fax

(417) 283-2073

NPI assigned

May 6, 2019

Last updated

Jun 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerri Stiles

Title

Business Office Manager

Phone

(417) 283-2072

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harley V Gullett, ACSW, LCSW

  • Clinical Social Worker
  • Nevada, MO
  • NPI 1265416770
  Medicare reassignment NPD
• Adam Hewitt

  • Clinical Social Worker
  • Lamar, MO
  • NPI 1841666997
  Medicare reassignment NPD
• Jenny Marie Wright

  • Social Worker
  • Nevada, MO
  • NPI 1164081691
  Medicare reassignment NPD
• Anna Farmer, CRADC

  • Addiction (Substance Use Disorder) Counselor
  • Nevada, MO
  • NPI 1164371258
  NPD
• Jonni Marie Chapple, LMSW

  • Social Worker
  • Lamar, MO
  • NPI 1780204750
  NPD (past)
• Kelsey Pettit, PLPC

  • Professional Counselor
  • Nevada, MO
  • NPI 1750138582
  NPD (past)
• Tiffany Ann Pruitt, LCSW

  • Clinical Social Worker
  • Nevada, MO
  • NPI 1174180012
  NPD (past)
• Charie Ann Sands, PLPC

  • Counselor
  • Nevada, MO
  • NPI 1033675376
  NPD (past)
• Daniella Rae Spencer, LPC

  • Professional Counselor
  • Troy, MO
  • NPI 1538874151
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1942865878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S PREWITT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721760",
            "telephone_number": "417-283-2072",
            "fax_number": "417-283-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PREWITT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721760",
            "telephone_number": "417-283-2072",
            "fax_number": "417-283-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL HEALTH WELLNESS SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "JERRI",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "417-283-2072"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administrator@fullhealthwellnesssystems.org",
            "affiliation": "N",
            "endpointDescription": "encrypted business office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 S Prewitt St",
            "city": "Nevada",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647721760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Fox, M.D.
• Roger A Francis, MD
• Alexander Franks, PLPC
• Michael G Freeze Sr., MAADC
• Friendship House
• Weston Drew Fulmer, DMD
• Emily Kaye Gallup
• Scott M Gibbs, PA
• Leroy Clarence Graham, R.PH
• Melissa Gratton, RN

• Adult Mental Health Clinic/Center in Nevada, MO
• Providers in Nevada, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.