IndividualActive
Jack Fuller
NPI 1164193421 · Counselor · Solon, OH
Jack Fuller is a Counselor provider in Solon, OH (NPI 1164193421).
Provider details
- NPI number
- 1164193421
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33595 Bainbridge Rd Ste 101
Solon, OH 44139-2981
Phone: (800) 642-4560
Street-level locationGet directions
Mailing address
7575 Water Fall Trl
Chagrin Falls, OH 44022-3965
Registry dates
- Enumerated
- 2021-09-25
- Last updated
- 2021-09-25
- Certified
- 2021-09-25
Frequently asked questions
- What is Jack Fuller's NPI number?
- Jack Fuller's National Provider Identifier (NPI) is 1164193421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Fuller's specialty?
- Jack Fuller is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Fuller located?
- Jack Fuller's practice location on file with NPPES is 33595 Bainbridge Rd Ste 101, Solon, OH 44139-2981.
- What is Jack Fuller's phone number?
- The practice phone number listed in the NPPES registry for Jack Fuller is (800) 642-4560.
- Is Jack Fuller's NPI active?
- Yes — Jack Fuller's NPI (1164193421) is active in the NPPES registry as of the last update on 2021-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.