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MRS. NICOLE C. FULLER LPCC-S
NPI 1700054491
Counselor - Professional in Canton, OH

Active since February 14, 2008
601 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 453-6716 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 26, 2019, Jan 17, 2018 (2 updates tracked since 2018).

About Mrs. Nicole C. Fuller Lpcc-s NPPES

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

MRS. NICOLE C. FULLER LPCC-S (NPI 1700054491) is an individual professional provider in Canton, Ohio, licensed in Ohio (E0008339SUPV) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1700054491
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. NICOLE C. FULLERCredential: LPCC-S
Location Address601 CLEVELAND AVE NWCanton, OH 44702-1836
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0371 · Fax (330) 453-6716
Phone(330) 455-0374
Fax(330) 453-6716
Sole ProprietorNo
Enumeration DateFebruary 14, 2008
Last NPPES UpdateSeptember 26, 20192 updates tracked since enumeration
✔ NPI 1700054491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E0008339SUPV
601 CLEVELAND AVE NW, Canton, OH 44702
Open in Google Maps ↗

Other Identifiers 1

Medicaid0258393OH

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.

MORGAN TRUAX
Community Health Worker
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
CRISTA LYNE RIFFLE CDCA
Counselor (Addiction (Substance Use Disorder))
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
PATRICIA L STARK LPN
Licensed Practical Nurse
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 453-8252
ANN MARIE WOODWARD
Community Health Worker
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
KELLI LYNNE CARROLL QMHS
Community Health Worker
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
GAVIN A GREENLEE CT
Counselor
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 453-8252
JEFFERY SCOTT FALKNER
Prevention Professional
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
BONNIE SUE PETERSON LPCC
Counselor (Professional)
601 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374

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 Nicole Fuller's NPI number?

The NPI number for Nicole Fuller is 1700054491. It was assigned to this individual provider in the NPPES registry on February 14, 2008.

Where is Nicole Fuller located?

Nicole Fuller practices at 601 Cleveland Ave NW, Canton, OH 44702. The listed phone number is (330) 455-0374.

What is Nicole Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nicole Fuller was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.