HEATHER FULLER
NPI 1699189993
Marriage & Family Therapist in San Diego, CA

Active since June 13, 2014Opted out of Medicare · through Nov 5, 2027
3427 MISSION MESA WAY, SAN DIEGO, CA 92120(619) 244-1095 Get Directions Write a Review

NPPES record last updated: August 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather Fuller NPPES

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

HEATHER FULLER (NPI 1699189993) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since June 2014. She has opted out of Medicare through November 5, 2027.

NPPES Registry Identity

NPI1699189993
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHEATHER FULLER
Location Address3427 MISSION MESA WAYSan Diego, CA 92120-1555
Mailing Address325 W Washington St Ste 2 #3042San Diego, CA 92103-1946 · (619) 244-1095
Sole ProprietorYes
Enumeration DateJune 13, 2014
Last NPPES UpdateAugust 27, 2022
NPPES CertifiedAugust 7, 2022
NPI 1699189993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3427 MISSION MESA WAY, San Diego, CA 92120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Heather 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 November 5, 2025 through November 5, 2027.

Opt-Out Effective DateNovember 5, 2025
Opt-Out In Effect ThroughNovember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Heather Fuller's NPI number?

The NPI number for Heather Fuller is 1699189993. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Heather Fuller located?

Heather Fuller practices at 3427 Mission Mesa Way, San Diego, CA 92120. The listed phone number is (619) 244-1095.

What is Heather Fuller's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Heather Fuller enrolled in Medicare?

No. Heather Fuller has opted out of Medicare through November 5, 2027. 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 Heather Fuller was last updated on August 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.