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

Mr. Charles Robert Fuller II, LPC-S

Individual provider Mental Health Counselor · NPI 1952845240

Mr. Charles Robert Fuller II, LPC-S is a Mental Health Counselor in College Station, Texas. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
19
Licensed in
TX
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

511 University Dr E Ste 210
College Station, TX 77840-1748
Phone: (979) 777-5545
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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 72142 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 72142 (TX)
Counselor Taxonomy 101Y00000X · Licence 72142 (TX)

Record details

NPI number1952845240
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-S
Sole proprietorNo
NPI enumeratedDecember 6, 2016
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in College Station