NPI Portal NPI Lookup & Verification

Dr. Mickey Joe Fuller, MA, MS, PSY.D.

Dr. Mickey Joe Fuller is a Professional Counselor provider (Counselor) practicing in Moab, UT, registered in the NPPES registry with NPI 1427017573 since 2006. The credential PSYD stands for Doctor of Psychology.

✓ Active NPI ✓ Valid NPI checksum

NPI 1427017573
Entity type Individual (Type 1)
Name Dr. Mickey Joe Fuller
Credential MA, MS, PSY.D.
Sex Male
Practice address 198 E CENTER ST, Moab, UT, 84532
Phone 4352596131
Fax 4352595369
Enumeration date 2006-03-18
Last updated in NPPES 2009-11-09

Taxonomy & licenses

Taxonomy code Specialty Primary License State
101YA0400X Addiction (Substance Use Disorder) Counselor Secondary 5329261-6006 UT
101YP2500X Professional Counselor Primary 5329261-6010 UT

PSYD — Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Copy-ready billing details
Provider: Mickey Fuller, MA, MS, PSY.D.
NPI: 1427017573
Taxonomy: 101YP2500X (Professional Counselor)
Address: 198 E CENTER ST, Moab, UT, 84532

Other providers at this practice address

NPI Name Type Specialty Location
1346495306 Ronald Day Individual Clinical Social Worker Moab, UT
1265738785 Ammon Sorensen Individual Mental Health Counselor Moab, UT
1821330564 Abigail Scott Individual Case Manager/Care Coordinator Moab, UT
1235548108 Tiffany Van Sickle Individual Case Manager/Care Coordinator Moab, UT
1750772604 Amy Stocks Individual Case Manager/Care Coordinator Moab, UT
1275908279 Leslie Goldtooth Individual Case Manager/Care Coordinator Moab, UT
1023655420 William Wennell Individual Registered Nurse Moab, UT
1114537149 Michelle Saggboy Individual Social Worker Moab, UT

Verify this record

Cross-check NPI 1427017573 against the authoritative CMS record: view Dr. Mickey Joe Fuller on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where does Mickey Fuller practice?
The practice location on file with NPPES is in Moab, UT. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mickey Fuller?
The National Provider Identifier (NPI) for Mickey Fuller is 1427017573, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-11-09.