MARTIA JERONDA FULLER
NPI 1780150011
Counselor - Professional in Charlotte, NC

Active since October 14, 2018
8401 MEDICAL PLAZA DR STE 360, CHARLOTTE, NC 28262(704) 208-4458(866) 309-6385 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2020, Oct 14, 2018 (2 updates tracked since 2018).

About Martia Jeronda Fuller NPPES

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

MARTIA JERONDA FULLER (NPI 1780150011) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (A14117) and active in the NPI registry since October 2018. She maintains a secondary practice location in Wake Forest.

NPPES Registry Identity

NPI1780150011
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARTIA JERONDA FULLER
Location Address8401 MEDICAL PLAZA DR STE 360Charlotte, NC 28262-8700
Mailing Address204 Sycamore StOxford, NC 27565-3625 · (919) 339-0649
Fax(866) 309-6385
Sole ProprietorYes
Enumeration DateOctober 14, 2018
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
NPI 1780150011 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 NC · A14117
8401 MEDICAL PLAZA DR STE 360, Charlotte, NC 28262

Secondary Practice Location 1

Location 11788 Heritage Center Dr Ste 202Wake Forest, NC 27587-3972 · Phone (919) 435-7920

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
Counselor (Professional)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
Counselor (Mental Health)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
Counselor (Mental Health)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
Counselor (Mental Health)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
Counselor (Mental Health)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
Counselor (Mental Health)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
Counselor (Mental Health)
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262

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 Martia Fuller's NPI number?

The NPI number for Martia Fuller is 1780150011. It was assigned to this individual provider in the NPPES registry on October 14, 2018.

Where is Martia Fuller located?

Martia Fuller practices at 8401 Medical Plaza Dr Ste 360, Charlotte, NC 28262. The listed phone number is (704) 208-4458.

What is Martia Fuller's specialty?

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

What insurance does Martia Fuller accept?

Health plans from Blue Cross and Blue Shield of NC list Martia 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 Martia Fuller was last updated on January 3, 2020. 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.