1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Counselor
  6. NPI Profile

MS. JOANN FULLER
NPI 1275803702
Counselor - Mental Health in Portland, ME

Active since December 30, 2011PECOS Enrolled
470 FOREST AVE, SUITE 202, PORTLAND, ME 04101(207) 774-3570(207) 774-3540 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Joann Fuller NPPES

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

MS. JOANN FULLER (NPI 1275803702) is an individual mental health provider in Portland, Maine, licensed in Maine (XL3862) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275803702
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JOANN FULLER
Location Address470 FOREST AVE, SUITE 202Portland, ME 04101
Mailing Address179 Pepperrell RdKittery Point, ME 03905-5114 · (207) 439-9160
Phone(207) 774-3570
Fax(207) 774-3540
Sole ProprietorYes
Enumeration DateDecember 30, 2011
✔ NPI 1275803702 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 ME · XL3862
470 FOREST AVE, Portland, ME 04101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Joann Fuller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

MR. WILLARD HENRY GRIFFIN JR. LMSW-CC
Social Worker
470 FOREST AVE, SUITE 202
PORTLAND, ME 04101
Cumberland County (207) 774-3570
ALEX D FEINBERG LMSW-CC
Social Worker (Clinical)
470 FOREST AVE, SUITE 300
PORTLAND, ME 04101
Cumberland County (207) 854-1030
MISTY SMITH
Counselor (Professional)
470 FOREST AVE
PORTLAND, ME 04101
Cumberland County (207) 774-3570
KEITA A. WHITTEN LMSW-CC
Social Worker
470 FOREST AVE
PORTLAND, ME 04101
Cumberland County (207) 874-1030
MS. REBECCA DURGIN LMSW-CC
Social Worker (Clinical)
470 FOREST AVE, SUITE 202
PORTLAND, ME 04101
Cumberland County (207) 774-3570
CATHARINE MACLAREN LCSW, CEAP
Social Worker (Clinical)
470 FOREST AVE
PORTLAND, ME 04101
Cumberland County (207) 773-6536
MRS. DANIELLE E HACKETT MA, LCPC
Counselor (Mental Health)
470 FOREST AVE, NONE
PORTLAND, ME 04101
Cumberland County (303) 449-2217

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 Joann Fuller's NPI number?

The NPI number for Joann Fuller is 1275803702. It was assigned to this individual provider in the NPPES registry on December 30, 2011.

Where is Joann Fuller located?

Joann Fuller practices at 470 Forest Ave Suite 202, Portland, ME 04101. The listed phone number is (207) 774-3570.

What is Joann Fuller's specialty?

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

Is Joann Fuller enrolled in Medicare?

Yes. Joann Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joann Fuller was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.