Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deidra Fuller

Individual provider Professional Counselor · NPI 1558946319

Deidra Fuller is a Mental Health Counselor in Midland, Texas. Qualified in 2004, 22 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

2711 Delano Ave
Midland, TX 79701-3102
Phone: (432) 816-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 60840 (TX)

Record details

NPI number1558946319
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 13, 2021
Last updated in NPPESMarch 13, 2021
Certification dateMarch 13, 2021
Mailing address2711 Delano Ave, Midland, TX 79701-3102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Midland