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

Matthew Gerald Fuller

Individual provider Mental Health Counselor · NPI 1750946950

Matthew Gerald Fuller is a Mental Health Counselor in Nashville, Tennessee. Qualified in 2022, 4 years ago. Practices with Stellar Clinic CT PLLC, a 42-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Minnesota and Tennessee.

Years since qualifying
4
Licensed in
FL, MN, TN
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-5428
Phone: (615) 936-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7101 York Ave S Ste 357, Edina, MN 55435-4428 — (970) 926-6340

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6062 (TN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3369 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence IMH18270 (FL)

Record details

NPI number1750946950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2019
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Stellar Clinic Ct Pllc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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