Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477313815 Individual Practitioner Male Practitioner

Jake E Fuller , LPC

Counselor - Professional • Adrian, MI

Professional Overview & Biography Verified Profile Summary

Jake Fuller, LPC is a certified Counselor - Professional practicing in Adrian, MI. With approximately 3 years of clinical experience since completing medical education in 2023, Jake Fuller delivers high-quality medical care to the local community at 142 E MAUMEE ST STE 3.

Jake Fuller does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

142 E Maumee St Ste 3

Adrian, MI 492212735

Telephone 3127184221
Associated Practice Facility / Clinic
🏢 Acpc Pllc Facility NPI 1831658483

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Adrian, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -12.8 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
48 Specialists

Practicing in Adrian, MI (5077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fuller (3 Years) 3 Yrs
Adrian Specialty Average (15.8 Years) 15.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401226147

Definition to come...

Secondary Practice Locations

112 W Shawnee St

Tecumseh, MI 492861566

Phone: 7342155404

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1023572682

Limited Licensed Master Social Worker, Licensed Clinical Social Worker, Licensed Independent Clinical Social Worker

Laura Plummer

Counselor

NPI 1114877404
Kimberly Olmsted , LMSW

Social Worker - Clinical

NPI 1215643176

Licensed Master Social Worker

Aaron Glovier

Social Worker - Clinical

NPI 1306610530
Hannah Gaspar , MSW

Social Worker - Clinical

NPI 1356169825

Master of Social Work

Ryan Devlin

Counselor

NPI 1376473306

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated April 13, 2026

Recorded as JAKE FULLER, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2026

Counselor (License #6401226147 in MI)

NPI Profile Active March 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2024

Registered at 142 E MAUMEE ST STE 3, ADRIAN, MI 492212735 (Tel: 3127184221)

📍
Updated Business Mailing Address March 28, 2024

Registered at 112 W SHAWNEE ST, TECUMSEH, MI 492861566 (Tel: 3127184221)

👤
Provider Name / Credentials Updated March 28, 2024

Recorded as JAKE FULLER, LLPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Counselor

🟢
Initial NPI Registration & Enumeration March 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477313815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2024
Last Update: April 13, 2026
Sole Proprietor: Yes

Mailing Address

112 W Shawnee St

Tecumseh, MI 492861566

Phone: 3127184221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.