MR. JAKE E FULLER LPC
NPI 1477313815
Counselor - Professional in Adrian, MI
About Mr. Jake E Fuller Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAKE E FULLER LPC (NPI 1477313815) is an individual professional provider in Adrian, Michigan, licensed in Michigan (6401226147) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tecumseh, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jake E Fuller Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jake Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
Southfield, MI 48076
- Reassigned Medicare billing, Michigan enrollment
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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ADRIAN, MI 49221
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 Jake Fuller's NPI number?
The NPI number for Jake Fuller is 1477313815. It was assigned to this individual provider in the NPPES registry on March 21, 2024.
Where is Jake Fuller located?
Jake Fuller practices at 142 E Maumee St Ste 3, Adrian, MI 49221. The listed phone number is (312) 718-4221.
What is Jake Fuller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jake Fuller enrolled in Medicare?
Yes. Jake Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jake Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Fuller reassigns Medicare benefits to 2 organizations: Acpc PLLC (Adrian, MI) and Ffc PLLC (Southfield, MI). Each 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 Jake Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jake Fuller accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Paramount and Priority Health and 1 other insurer list Jake 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 Jake Fuller was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Jake E Fuller, LPC · NPI 1477313815
Professional provider in Adrian, Michigan. Individual provider, active in the CMS NPPES registry since March 21, 2024.
## Identity
- **NPI:** 1477313815 (Entity type: Individual)
- **Enumerated:** March 21, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401226147 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 142 E MAUMEE ST STE 3, Adrian, MI 49221-2735
- **Phone:** (312) 718-4221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acpc PLLC (NPI 1831658483, Adrian, MI); Ffc PLLC (NPI 1821808296, Southfield, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477313815) · Data from the CMS NPPES public registry.