Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KACIE LEE FULLER MA
NPI 1265340962
Counselor - Mental Health in Salem, OR

Q: What is Kacie Fuller's NPI number?

The NPI number for Kacie Fuller is 1265340962. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Q: What is Kacie Fuller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kacie Fuller was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 01, 2026

3855 WOLVERINE ST NE BLDG A, SALEM, OR 97305(971) 375-1523 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Kacie Lee Fuller Ma NPPES

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

KACIE LEE FULLER MA (NPI 1265340962) is an individual mental health provider in Salem, Oregon, licensed in Oregon (R10158) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1265340962

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKACIE LEE FULLERCredential: MA

Location Address3855 WOLVERINE ST NE BLDG ASalem, OR 97305-1251

Mailing Address657 Se Cooper StDallas, OR 97338-1945

Phone(971) 375-1523

Sole ProprietorNo

Enumeration DateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1265340962 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 OR · R10158

3855 WOLVERINE ST NE BLDG A, Salem, OR 97305

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

KIMBERLY ESTES BCBA, LBA

Behavior Analyst

3855 WOLVERINE ST NE BLDG A
SALEM, OR 97305

Marion County (503) 720-3311

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 Kacie Fuller's NPI number?

The NPI number for Kacie Fuller is 1265340962. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Where is Kacie Fuller located?

Kacie Fuller practices at 3855 Wolverine St NE Bldg A, Salem, OR 97305. The listed phone number is (971) 375-1523.

What is Kacie Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Kacie Fuller was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.