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Active NPI 1427017573 Individual Practitioner Male Practitioner

Dr. Mickey Joe Fuller , MA, MS, PsyD

Counselor - Professional • Moab, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mickey Fuller, MA, MS, PsyD is a certified Counselor - Professional practicing in Moab, UT. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Fuller delivers high-quality medical care to the local community at 198 E CENTER ST.

Dr. Fuller is affiliated with Therapy Associates Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

198 E Center St

Moab, UT 845322430

Telephone 4352596131
Fax 4352595369

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moab, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs Matches City Avg
City Avg: 26.0 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Moab, UT (520 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 (26 Years) 26 Yrs
Moab Specialty Average (26.0 Years) 26.0 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 5329261-6010

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License UT 5329261-6006

Definition to come...

Hospital & Practice Group Affiliations

Therapy Associates Pc

377 E Riverside Dr, St George, UT 847904749

Phone: 4358628273

Practice Associates & Co-Workers

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

40 Associated Practitioners
William Wennell , RN

Registered Nurse

NPI 1023655420

Registered Nurse

NPI 1043274160

Doctor of Philosophy (Ph.D.)

Delrea Lilligridge , SSW

Social Worker - Clinical

NPI 1053485219
Matthew Blank

Case Manager/Care Coordinator

NPI 1063151942
Brandy Shumway

Case Manager/Care Coordinator

NPI 1083894018
Richard Donham , LPC

Counselor - Professional

NPI 1114091196

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2009

Registered at 198 E CENTER ST, MOAB, UT 845322430 (Tel: 4352596131)

📍
Updated Business Mailing Address November 09, 2009

Registered at 3310 SPANISH VALLEY DR, MOAB, UT 845323636 (Tel: 8019533113)

👤
Provider Name / Credentials Updated November 09, 2009

Recorded as MICKEY FULLER, MA, MS, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2009

Counselor (License #5329261-6006 in UT)

🟢
Initial NPI Registration & Enumeration March 18, 2006

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: 1427017573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2006
Last Update: November 09, 2009
Sole Proprietor: No

Mailing Address

3310 Spanish Valley Dr

Moab, UT 845323636

Phone: 8019533113

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.