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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. MICHAEL FULLER MHPS
NPI 1063230878
Peer Specialist in Fort Worth, TX

Active since September 30, 2024
6421 CAMP BOWIE BLVD STE 308, FORT WORTH, TX 76116(682) 277-9994(833) 915-1751 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Mar 27, 2025, Sep 30, 2024 (3 updates tracked since 2024).

About Mr. Michael Fuller Mhps NPPES

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

MR. MICHAEL FULLER MHPS (NPI 1063230878) is an individual peer specialist in Fort Worth, Texas, licensed in Texas (2076-0624) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1063230878
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. MICHAEL FULLERCredential: MHPS
Location Address6421 CAMP BOWIE BLVD STE 308Fort Worth, TX 76116-5421
Mailing Address6421 Camp Bowie Blvd Ste 308Fort Worth, TX 76116-5421 · (682) 277-9994 · Fax (833) 915-1751
Phone(682) 277-9994
Fax(833) 915-1751
Sole ProprietorYes
Enumeration DateSeptember 30, 2024
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1063230878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in TX · 2076-0624
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6421 CAMP BOWIE BLVD STE 308, Fort Worth, TX 76116
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

A NATION OF HOPE
Peer Specialist
6421 CAMP BOWIE BLVD STE 308
FORT WORTH, TX 76116
Tarrant County (682) 277-9994

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 Michael Fuller's NPI number?

The NPI number for Michael Fuller is 1063230878. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Michael Fuller located?

Michael Fuller practices at 6421 Camp Bowie Blvd Ste 308, Fort Worth, TX 76116. The listed phone number is (682) 277-9994.

What is Michael Fuller's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Michael Fuller was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.