RACHEL FULLER
NPI 1508340340
Counselor - Addiction (Substance Use Disorder) in Orem, UT

Active since September 18, 2018Opted out of Medicare · through Apr 15, 2028
714 S STATE ST, OREM, UT 84058(801) 426-6565 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachel Fuller NPPES

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

RACHEL FULLER (NPI 1508340340) is an individual addiction (substance use disorder) provider in Orem, Utah, licensed in Utah (10842179-6014) and active in the NPI registry since September 2018. She has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1508340340
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameRACHEL FULLER
Location Address714 S STATE STOrem, UT 84058-6366
Mailing Address714 S State StOrem, UT 84058-6366 · (801) 426-6565
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
NPI 1508340340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in UT · 10842179-6014
714 S STATE ST, Orem, UT 84058

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Rachel Fuller has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024
Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Counselor (Addiction (Substance Use Disorder))
714 S STATE ST
OREM, UT 84058
Licensed Practical Nurse
714 S STATE ST
OREM, UT 84058
Clinic/Center (Methadone)
714 S STATE ST
OREM, UT 84058
Counselor (Addiction (Substance Use Disorder))
714 S STATE ST
OREM, UT 84058
Nurse Practitioner
714 S STATE ST
OREM, UT 84058
Licensed Practical Nurse
714 S STATE ST
OREM, UT 84058
Counselor (Addiction (Substance Use Disorder))
714 S STATE ST
OREM, UT 84058
Licensed Practical Nurse
714 S STATE ST
OREM, UT 84058

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 Rachel Fuller's NPI number?

The NPI number for Rachel Fuller is 1508340340. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Rachel Fuller located?

Rachel Fuller practices at 714 S State St, Orem, UT 84058. The listed phone number is (801) 426-6565.

What is Rachel Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Rachel Fuller enrolled in Medicare?

No. Rachel Fuller has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rachel Fuller was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.