MR. JAKE E FULLER (LPC) – Mental Health Counselor, NPI 1477313815

MR. JAKE E FULLER (LPC) is a healthcare provider. based in Tecumseh, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 6401226147 (MI). The NPI Number for MR. JAKE E FULLER (LPC) is 1477313815

Main info

Male
Sole Proprietor
3 Years Of Experience
Name
MR. JAKE E FULLER (LPC)
NPI
1477313815
Phone
(734) 215-5404
Address
112 W Shawnee St
Enumeration Date
21 March 2024
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
0648746370
Professional Enrollment ID
I20260420001735
Address ID
MI492212735AD142XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for MR. JAKE E FULLER (LPC)

  • 112 W Shawnee St

    Tecumseh, MI 492861566

    Phone: (734) 215-5404

    Type: Location

  • 112 W SHAWNEE ST

    TECUMSEH, MI 492861566

    Phone: (312) 718-4221

    Type: Mailing

  • 142 E MAUMEE ST STE 3

    ADRIAN, MI 492212735

    Phone: (312) 718-4221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49286)

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Reviews

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Frequently asked questions

How is MR. JAKE E FULLER (LPC) identified in CMS data?
CMS-hosted NPPES data lists MR. JAKE E FULLER (LPC) with NPI 1477313815.
Can I rely on MR. JAKE E FULLER (LPC) being an active provider?
As of the registry snapshot, MR. JAKE E FULLER (LPC) is marked active.
What is MR. JAKE E FULLER (LPC) best known for clinically?
Directory data describes MR. JAKE E FULLER (LPC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does MR. JAKE E FULLER (LPC) list a practice location?
Patients near Tecumseh, Michigan may find MR. JAKE E FULLER (LPC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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