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

Mr. Jake E Fuller, LPC

Individual provider Professional Counselor · NPI 1477313815

Mr. Jake E Fuller, LPC is a Mental Health Counselor in Adrian, Michigan. Qualified in 2023, 3 years ago. Practices with Acpc PLLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

142 E Maumee St Ste 3
Adrian, MI 49221-2735
Phone: (312) 718-4221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 112 W Shawnee St, Tecumseh, MI 49286-1566 — (734) 215-5404

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401226147 (MI)

Record details

NPI number1477313815
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 21, 2024
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address112 W Shawnee St, Tecumseh, MI 49286-1566

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Acpc Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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