JENNIFER FULLER LMHC
NPI 1467615377
Clinic/Center - Adult Mental Health in Syracuse, NY

Q: What is Jennifer Fuller's NPI number?

The NPI number for Jennifer Fuller is 1467615377. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Q: What is Jennifer Fuller's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fuller was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 10, 2008PECOS Enrolled

1045 JAMES ST, SYRACUSE, NY 13203(315) 472-4471(315) 472-1759 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Fuller Lmhc NPPES

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

JENNIFER FULLER LMHC (NPI 1467615377) is an individual adult mental health provider in Syracuse, New York and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467615377

Entity TypeIndividualFemale

Primary Taxonomy261QM0850X

Provider Legal NameJENNIFER FULLERCredential: LMHC

Location Address1045 JAMES STSyracuse, NY 13203-2730

Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 472-4471 · Fax (315) 472-1759

Phone(315) 472-4471

Fax(315) 472-1759

Sole ProprietorYes

Enumeration DateJuly 10, 2008

Last NPPES UpdateNovember 17, 2016

✔ NPI 1467615377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1045 JAMES ST, Syracuse, NY 13203

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Fuller Lmhc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANDREA ROSA VERGARA LCSW

Social Worker (Clinical)