Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164193421 Individual Practitioner Male Practitioner

Jack Mcbryde Fuller

Counselor • Solon, OH

Professional Overview & Biography Verified Profile Summary

Jack Fuller is a registered healthcare professional specializing in Counselor in Solon, OH. Practice services are available at 33595 BAINBRIDGE RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

33595 Bainbridge Rd Ste 101

Solon, OH 441392981

Telephone 8006424560
Associated Practice Facility / Clinic
🏢 Hope Behavioral Health Llc Facility NPI 1821432758

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Solon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Solon, OH (4163 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

Medical Specialties & State Licenses

CMS Verified: 2021-09-25
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

24 Associated Practitioners
Barbara Frank , LPC

Counselor - Mental Health

NPI 1093271439

Licensed Professional Counselor

Sydney Byard , CT

Counselor - Professional

NPI 1104542067
Albert Mcintosh , LISW

Social Worker - Clinical

NPI 1225227911

Licensed Independent Social Worker

Melinda Phillips

Counselor - Mental Health

NPI 1255824975
Alicia Steve

Social Worker - Clinical

NPI 1265155352
Rachel Heflen , LISW

Social Worker - Clinical

NPI 1285057125

Licensed Independent Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2021

Registered at 33595 BAINBRIDGE RD STE 101, SOLON, OH 441392981 (Tel: 8006424560)

📍
Updated Business Mailing Address September 25, 2021

Registered at 7575 WATER FALL TRL, CHAGRIN FALLS, OH 440223965 (Tel: 2162961184)

👤
Provider Name / Credentials Updated September 25, 2021

Recorded as JACK FULLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2021

Counselor

🟢
Initial NPI Registration & Enumeration September 25, 2021

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: 1164193421
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2021
Last Update: September 25, 2021
Sole Proprietor: Yes

Mailing Address

7575 Water Fall Trl

Chagrin Falls, OH 440223965

Phone: 2162961184

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.