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BETHANY RAE FULLER LPC
NPI 1497543102
Counselor - Mental Health in Ellisville, MO

Active since April 30, 2025
260 CLARKSON RD, ELLISVILLE, MO 63011(314) 254-3448 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany Rae Fuller Lpc NPPES

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

BETHANY RAE FULLER LPC (NPI 1497543102) is an individual mental health provider in Ellisville, Missouri, licensed in Missouri (2022003037) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1497543102
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETHANY RAE FULLERCredential: LPC
Location Address260 CLARKSON RDEllisville, MO 63011-2245
Mailing Address3931 Wyoming StSaint Louis, MO 63116-3917 · (312) 505-8141
Phone(314) 254-3448
Sole ProprietorYes
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1497543102 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 MO · 2022003037
260 CLARKSON RD, Ellisville, MO 63011
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Other Providers at the Same Location NPPES 6

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

SHARON K PALAS MAC
Counselor (Mental Health)
260 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (636) 236-4417
HEATHER GARGIS LPC
Counselor (Professional)
260 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (540) 808-8750
LISA FARRAR LPC
Counselor (Mental Health)
260 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (636) 686-0613
LAURA MODICA LPC
Counselor (Mental Health)
260 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (573) 747-6445
KATHRYN SCHORMANN LLC
Counselor
260 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (314) 252-8220
MRS. LAURA EMILY MODICA LPC
Counselor (Mental Health)
260 CLARKSON RD
ELLISVILLE, MO 63011
St. Louis County (573) 747-6445

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 Bethany Fuller's NPI number?

The NPI number for Bethany Fuller is 1497543102. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Bethany Fuller located?

Bethany Fuller practices at 260 Clarkson Rd, Ellisville, MO 63011. The listed phone number is (314) 254-3448.

What is Bethany Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Bethany Fuller was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.