KALLI FULLER LSW
NPI 1790507853
Counselor - Mental Health in Coal City, IL

Active since October 29, 2024
295 W DIVISION ST, COAL CITY, IL 60416(708) 515-0010 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kalli Fuller Lsw NPPES

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

KALLI FULLER LSW (NPI 1790507853) is an individual mental health provider in Coal City, Illinois, licensed in Illinois (150.114766) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1790507853
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKALLI FULLERCredential: LSW
Location Address295 W DIVISION STCoal City, IL 60416-1581
Mailing Address290 Partridge Run DrBraidwood, IL 60408-2304
Sole ProprietorYes
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1790507853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 150.114766
295 W DIVISION ST, Coal City, IL 60416

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
295 W DIVISION ST
COAL CITY, IL 60416
Counselor (Mental Health)
295 W DIVISION ST
COAL CITY, IL 60416
Social Worker
295 W DIVISION ST
COAL CITY, IL 60416
Counselor (Mental Health)
295 W DIVISION ST
COAL CITY, IL 60416
Counselor (Professional)
295 W DIVISION ST
COAL CITY, IL 60416
Counselor (Professional)
295 W DIVISION ST
COAL CITY, IL 60416
Counselor (Professional)
295 W DIVISION ST
COAL CITY, IL 60416

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 Kalli Fuller's NPI number?

The NPI number for Kalli Fuller is 1790507853. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Kalli Fuller located?

Kalli Fuller practices at 295 W Division St, Coal City, IL 60416. The listed phone number is (708) 515-0010.

What is Kalli Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Kalli Fuller was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.