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

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: October 18, 2026.

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

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 Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

White County Medical Center
0.8 mi
Cardiovascular Disease
711 SANTA FE DR
Searcy, AR 72143
  • Reassigned Medicare billing, Arkansas enrollment
  • 159 clinicians in this Medicare group
NPI 1063780567 (501) 279-9393

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

VICKY KING MHT
Case Manager/Care Coordinator
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-2359
CELINA STELLY LAC
Counselor
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-2359
JONATHAN WILLIAMS QBHP
Case Manager/Care Coordinator
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-4329
EMILY CAMILLE TANLEY
Case Manager/Care Coordinator
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-2359
SHAWN HARRIS MHPP
Case Manager/Care Coordinator
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-2359
ALISSA DAWN COYLE MHPP
Case Manager/Care Coordinator
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-2359
CAMERON MOORE
Case Manager/Care Coordinator
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-2359
NICHOLE THOMAS
Case Manager/Care Coordinator
1507 E RACE AVE
SEARCY, AR 72143
White County (501) 305-2359

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 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. The provider is also known as Lisa Burley.

Where is Lisa Fuller located?

Lisa Fuller practices at 1507 E Race Ave, Searcy, AR 72143. The listed phone number is (501) 305-2359.

What is Lisa Fuller's specialty?

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

Is Lisa Fuller enrolled in Medicare?

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

Which organization bills Medicare for Lisa Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Fuller reassigns Medicare benefits to White County Medical Center (Searcy, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Fuller accept?

Health plans from Health Advantage and Octave list Lisa Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Fuller was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.