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

NPI Status: Active since March 08, 2014

Contact Information

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 904-6567
Fax: (270) 904-6570

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  • Individual
  • Female
  • Years of Experience 26
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KRISTINA FULLER

This page provides the complete NPI Profile along with additional information for Kristina Fuller, a provider established in Bowling Green, Kentucky with a medical specialization in Counselor, focusing in mental health and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1700202272 assigned on March 2014. The practitioner's primary taxonomy code is 101YM0800X with license number 104177 (KY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1700202272
Provider Name
MS. KRISTINA FULLER LPCC
Other Name
KRISTINA WATT LPCC
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1048 ASHLEY ST BOWLING GREEN, KY 42103
Location Phone
(270) 904-6567
Location Fax
(270) 904-6570
Mailing Address
431 CLAYPOOL BOYCE RD ALVATON, KY 42122
Mailing Phone
(270) 791-8189
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
Yes
Enumeration Date
03-08-2014
Last Update Date
07-15-2019
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A mental health counselor like Kristina Fuller provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 431 Claypool Boyce Rd
    Alvaton, KY 42122
    (270) 791-8189

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
104177
License State
KY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

KY0572 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100287000MEDICAID (05)KY 

Medicare Participation & PECOS Enrollment Status

Kristina Fuller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kristina Fuller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6608261771

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240118002042

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. KRISTINA FULLER LPCC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700202272
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700404214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 4 + 0 + 4 + 2 + 1 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1700202272 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. CHRISTIE SHAWN HELM LCSW

Social Worker

(Clinical)

1048 ASHLEY ST
SUITE 201
BOWLING GREEN, KY
ZIP 42103

(270) 904-6567

ADVANCED DIAGNOSTIC IMAGING PC

Durable Medical Equipment & Medical Supplies

1048 ASHLEY ST
SUITE 101
BOWLING GREEN, KY
ZIP 42103

(615) 885-2778

FALLON BURCH LPCC

Counselor

(Mental Health)

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 904-6567

CHRISTOPHER WILLIAMS LPCC

Counselor

(Mental Health)

1048 ASHLEY ST
SUITE 201
BOWLING GREEN, KY
ZIP 42103

(270) 904-6567

JAMI S HUGHES LCSW

Social Worker

(Clinical)

1048 ASHLEY ST
SUITE 201
BOWLING GREEN, KY
ZIP 42103

(270) 904-6567

TRAVIS CAVAZOS

Counselor

(Mental Health)

1048 ASHLEY ST
SUITE 201
BOWLING GREEN, KY
ZIP 42103

(270) 904-6567

ANESTHESIA SERVICES ASSOCIATES PLLC

Anesthesiology

(Pain Medicine)

1048 ASHLEY ST
SUITE 103A
BOWLING GREEN, KY
ZIP 42103

(270) 599-0958

HAYLEY D. THORPE OTR

Occupational Therapist

1048 ASHLEY ST
SUITE 201
BOWLING GREEN, KY
ZIP 42103

(270) 904-6567

HEATHER WEBB

Social Worker

(Clinical)

1048 ASHLEY ST
SUITE 201
BOWLING GREEN, KY
ZIP 42103

(270) 904-6567

ANESTHESIA SERVICES ASSOCIATES, PLLC.

Durable Medical Equipment & Medical Supplies

1048 ASHLEY ST
SUITE 102
BOWLING GREEN, KY
ZIP 42103

(270) 599-0958

ANESTHESIA SERVICES ASSOCIATES

Durable Medical Equipment & Medical Supplies

1048 ASHLEY ST
SUITE 103A
BOWLING GREEN, KY
ZIP 42103

(270) 590-0958

ZACHARIAH ALLEN HUBBARD

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

CHELSE LASHEA HADLEY

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

BROOKE A KOENIG

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

BAILEY KING

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

SHA'MYAH MURPHY RBT

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

KINLEE CHAFFIN

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

MAKAYLEE CROSS

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

BAILEIGH SMITH

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

PRISCILLA AGUILAR

Behavior Technician

1048 ASHLEY ST
BOWLING GREEN, KY
ZIP 42103

(270) 843-5300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700202272, enumerated as an "individual" on March 08, 2014.

The provider is located at 1048 ASHLEY ST BOWLING GREEN, KY 42103 and the phone number is (270) 904-6567.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.