MS. KRISTINA FULLER LPCC
NPI 1700202272
Counselor - Mental Health in Bowling Green, KY

Active since March 08, 2014PECOS EnrolledAccepts Medicare Assignment
1048 ASHLEY ST, BOWLING GREEN, KY 42103(270) 904-6567(270) 904-6570 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2019, Apr 11, 2017 (2 updates tracked since 2017).

About Ms. Kristina Fuller Lpcc NPPES

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

MS. KRISTINA FULLER LPCC (NPI 1700202272) is an individual mental health provider in Bowling Green, Kentucky, licensed in Kentucky (104177) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alvaton, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1700202272
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KRISTINA FULLERCredential: LPCC
Location Address1048 ASHLEY STBowling Green, KY 42103-2449
Mailing Address431 Claypool Boyce RdAlvaton, KY 42122-8732 · (270) 791-8189
Fax(270) 904-6570
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 8, 2014
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
NPI 1700202272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in KY · 104177 Licensed in KY · KY0572
1048 ASHLEY ST, Bowling Green, KY 42103

Other Names 1

Former Name (1)Kristina Watt Lpcc

Secondary Practice Location 1

Location 1431 Claypool Boyce RdAlvaton, KY 42122-8732 · Phone (270) 791-8189

Other Identifiers 1

Medicaid7100287000KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kristina Fuller Lpcc 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.

PECOS PAC ID6608261771
PECOS Enrollment IDI20240118002042
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Behavior Technician
1048 ASHLEY ST
BOWLING GREEN, KY 42103
Durable Medical Equipment & Medical Supplies
1048 ASHLEY ST, SUITE 102
BOWLING GREEN, KY 42103
Behavior Technician
1048 ASHLEY ST
BOWLING GREEN, KY 42103
Social Worker (Clinical)
1048 ASHLEY ST, SUITE 201
BOWLING GREEN, KY 42103
Durable Medical Equipment & Medical Supplies
1048 ASHLEY ST, SUITE 101
BOWLING GREEN, KY 42103
Durable Medical Equipment & Medical Supplies
1048 ASHLEY ST, SUITE 103A
BOWLING GREEN, KY 42103
Social Worker (Clinical)
1048 ASHLEY ST, SUITE 201
BOWLING GREEN, KY 42103
Behavior Technician
1048 ASHLEY ST
BOWLING GREEN, KY 42103

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 Kristina Fuller's NPI number?

The NPI number for Kristina Fuller is 1700202272. It was assigned to this individual provider in the NPPES registry on March 8, 2014. The provider is also known as Kristina Watt Lpcc.

Where is Kristina Fuller located?

Kristina Fuller practices at 1048 Ashley St, Bowling Green, KY 42103. The listed phone number is (270) 904-6567.

What is Kristina Fuller's specialty?

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

Is Kristina Fuller enrolled in Medicare?

Yes. Kristina 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.

What insurance does Kristina Fuller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Providence Health Plan list Kristina 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 Kristina Fuller was last updated on July 15, 2019. 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.