1. Home
  2. Directory
  3. Ohio
  4. Mentor
  5. Counselor
  6. NPI Profile

DIANE FULTZ LCDCII, SWA, QMHS
NPI 1780197756
Counselor - Addiction (Substance Use Disorder) in Mentor, OH

Active since November 13, 2017
7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2021, Apr 10, 2020, Nov 13, 2017 (3 updates tracked since 2017).

About Diane Fultz Lcdcii, Swa, Qmhs NPPES

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

DIANE FULTZ LCDCII, SWA, QMHS (NPI 1780197756) is an individual addiction (substance use disorder) provider in Mentor, Ohio, licensed in Ohio (LCDCII.161560) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1780197756
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDIANE FULTZCredential: LCDCII, SWA, QMHS
Location Address7232 JUSTIN WAYMentor, OH 44060-4881
Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorYes
Enumeration DateNovember 13, 2017
Last NPPES UpdateOctober 24, 20213 updates tracked since enumeration
NPPES CertifiedOctober 24, 2021
✔ NPI 1780197756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCII.161560
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License W.1300044 (OH)
7232 JUSTIN WAY, Mentor, OH 44060
Open in Google Maps ↗

Other Identifiers 1

Medicaid0341565OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

DR. TIFFANY JONES M.D.
Psychiatry & Neurology (Psychiatry)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
ASHLEY NICHOLE FOCHT
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
MRS. FATIMAAH D FULLILOVE LSW, LICDC
Social Worker (Clinical)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
THERESA GILL LPCC
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
JAMIE GAMBRELL
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
CLOTILDA J RAYMOND
Social Worker
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
BRENDA BERRY SAMPLE
Case Manager/Care Coordinator
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
KIMBERLEE BIZUP LPCC-S
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200

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 Diane Fultz's NPI number?

The NPI number for Diane Fultz is 1780197756. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Diane Fultz located?

Diane Fultz practices at 7232 Justin Way, Mentor, OH 44060. The listed phone number is (440) 578-8200.

What is Diane Fultz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Diane Fultz accept?

Health plans from CareSource list Diane Fultz 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 Diane Fultz was last updated on October 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.