Jake E. Fuller, LPC

Professional Counselor · Adrian, MI

Individual Active NPI

NPI number 1477313815

Practice location

142 E Maumee St Ste 3
Adrian, MI 49221-2735
Phone
(312) 718-4221

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NPI record

NPI
1477313815
Entity type
Individual (Type 1)
Enumeration date
March 21, 2024
Last updated
April 13, 2026
Certified
April 13, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 6401226147 MI

Mailing address

112 W Shawnee St
Tecumseh, MI 49286-1566
Phone
(312) 718-4221

Other practice locations (1)

  • 112 W Shawnee St, Tecumseh, MI 49286-1566 · (734) 215-5404

About Jake Fuller

Jake E. Fuller, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 142 E Maumee St Ste 3, Adrian, MI 49221-2735. The NPI number 1477313815 was assigned on March 21, 2024 and the record was last updated on April 13, 2026.

Jake Fuller lists a license in the registry: #6401226147 (MI) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jake E. Fuller, LPC?

The NPI number is 1477313815.

What is the phone number of Jake Fuller?

The phone number listed for the practice location is (312) 718-4221.

Where is Jake Fuller located?

142 E Maumee St Ste 3, Adrian, MI 49221-2735.

What is the taxonomy code for Jake Fuller?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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