MELISSA PORTIA FULLER LPC
NPI 1023668076
Counselor - Professional in Portage, MI

Active since September 11, 2019PECOS EnrolledAccepts Medicare Assignment
7895 CURRIER DR, PORTAGE, MI 49002(269) 910-7327 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Portia Fuller Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA PORTIA FULLER LPC (NPI 1023668076) is an individual professional provider in Portage, Michigan, licensed in Michigan (6401014638) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023668076
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELISSA PORTIA FULLERCredential: LPC
Location Address7895 CURRIER DRPortage, MI 49002-4314
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 11, 2019
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1023668076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401014638
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401014638 (MI)
7895 CURRIER DR, Portage, MI 49002

Secondary Practice Location 1

Location 18270 S 10th StKalamazoo, MI 49009-9729 · Phone (269) 271-2002

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Portia Fuller Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173972684
PECOS Enrollment IDI20231208003338
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 135 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
7895 CURRIER DR
PORTAGE, MI 49002
Behavior Technician
7895 CURRIER DR
PORTAGE, MI 49002
Behavior Technician
7895 CURRIER DR
PORTAGE, MI 49002
Behavior Technician
7895 CURRIER DR
PORTAGE, MI 49002
Behavior Technician
7895 CURRIER DR
PORTAGE, MI 49002
Behavior Technician
7895 CURRIER DR
PORTAGE, MI 49002
Behavior Technician
7895 CURRIER DR
PORTAGE, MI 49002
Internal Medicine
7895 CURRIER DR
PORTAGE, MI 49002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Fuller's NPI number?

The NPI number for Melissa Fuller is 1023668076. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Melissa Fuller located?

Melissa Fuller practices at 7895 Currier Dr, Portage, MI 49002. The listed phone number is (269) 910-7327.

What is Melissa Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Melissa Fuller enrolled in Medicare?

Yes. Melissa Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Melissa Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Fuller reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Fuller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Melissa Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Fuller was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.