MS. BRITTANY L FULLER NCC, LCMHCA
NPI 1194582650
Counselor - Mental Health in Charlotte, NC

Active since March 01, 2024Opted out of Medicare · through Aug 28, 2026
1515 MOCKINGBIRD LN STE 580, CHARLOTTE, NC 28209(704) 644-9237 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Brittany L Fuller Ncc, Lcmhca NPPES

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

MS. BRITTANY L FULLER NCC, LCMHCA (NPI 1194582650) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A18085) and active in the NPI registry since March 2024. She has opted out of Medicare through August 28, 2026.

NPPES Registry Identity

NPI1194582650
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. BRITTANY L FULLERCredential: NCC, LCMHCA
Location Address1515 MOCKINGBIRD LN STE 580Charlotte, NC 28209-1171
Mailing Address1515 Mockingbird Ln Ste 580Charlotte, NC 28209-1171 · (704) 644-9237
Sole ProprietorNo
Enumeration DateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
NPI 1194582650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · A18085
1515 MOCKINGBIRD LN STE 580, Charlotte, NC 28209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Brittany L Fuller Ncc, Lcmhca has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2024 through August 28, 2026.

Opt-Out Effective DateAugust 28, 2024
Opt-Out In Effect ThroughAugust 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209
Psychologist
1515 MOCKINGBIRD LN STE 580
CHARLOTTE, NC 28209

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 Brittany Fuller's NPI number?

The NPI number for Brittany Fuller is 1194582650. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Where is Brittany Fuller located?

Brittany Fuller practices at 1515 Mockingbird Ln Ste 580, Charlotte, NC 28209. The listed phone number is (704) 644-9237.

What is Brittany Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brittany Fuller enrolled in Medicare?

No. Brittany Fuller has opted out of Medicare through August 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brittany Fuller was last updated on March 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.