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JEFF FULLER MSW, LSW
NPI 1871305573
Counselor - Mental Health in Indianapolis, IN

Active since January 21, 2025
5110 CEDAR MILL LN, INDIANAPOLIS, IN 46237(317) 696-1626 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeff Fuller Msw, Lsw NPPES

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

JEFF FULLER MSW, LSW (NPI 1871305573) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (33011463A) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1871305573
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFF FULLERCredential: MSW, LSW
Location Address5110 CEDAR MILL LNIndianapolis, IN 46237-8664
Mailing Address5110 Cedar Mill LnIndianapolis, IN 46237-8664 · (317) 696-1626
Phone(317) 696-1626
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1871305573 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 IN · 33011463A
5110 CEDAR MILL LN, Indianapolis, IN 46237
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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 Jeff Fuller's NPI number?

The NPI number for Jeff Fuller is 1871305573. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Jeff Fuller located?

Jeff Fuller practices at 5110 Cedar Mill Ln, Indianapolis, IN 46237. The listed phone number is (317) 696-1626.

What is Jeff 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 Jeff Fuller was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.