LISA FULLER LPC
NPI 1336867670
Counselor - Professional in Searcy, AR

Q: What is Lisa Fuller's NPI number?

The NPI number for Lisa Fuller is 1336867670. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Lisa Fuller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Fuller was last updated on May 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2022PECOS Enrolled

1507 E RACE AVE, SEARCY, AR 72143(501) 305-2359 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2025, Apr 9, 2025, Aug 22, 2022 (3 updates tracked since 2022).

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About Lisa Fuller Lpc NPPES

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

LISA FULLER LPC (NPI 1336867670) is an individual professional provider in Searcy, Arkansas, licensed in Arkansas (P2501006) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Searcy, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336867670

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISA FULLERCredential: LPC

Location Address1507 E RACE AVESearcy, AR 72143-4661

Mailing Address910 W Arch AveSearcy, AR 72143-5212 · (501) 281-5137 · Fax (877) 310-6350

Phone(501) 305-2359

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 22, 2022

Last NPPES UpdateMay 12, 20253 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1336867670 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 AR · P2501006

Also ListedCounselorTaxonomy 101Y00000X · License A2206021 (AR)

1507 E RACE AVE, Searcy, AR 72143

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Other Names 1

Former Name (1)Lisa Burley

Secondary Practice Location 1

Location 11200 S Main StSearcy, AR 72143-7321 · Phone (501) 278-3155

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3072035054

PECOS Enrollment IDI20250319002206

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 20

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

ALISSA DAWN COYLE MHPP

Case Manager/Care Coordinator