Fuller Life Concepts

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULLER LIFE CONCEPTS

Practice address

5150 Candlewood St Ste 18C
Lakewood, CA 90712-1927

Phone

(323) 334-0064

NPI assigned

Jun 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Fuller, LMFTNPI 1831221118

Title

Ceo

Phone

(323) 336-2294

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim E Fuller

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1831221118
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1053979278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7402",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908070402",
            "telephone_number": "323-334-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST STE 18C",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121927",
            "telephone_number": "323-334-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER LIFE CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-336-2294",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Barbara Fried, M.D., D.P.M.
• Robert Friedman, D.D.S.
• Amy Frownfelter
• Gloria Fuentes
• Tanya Fuentes
• Nicholas Fuller
• Functional Rehabilitation Physical Therapy PC
• Mary Joy Furio
• Mark Gailes
• Erwin C Galicinao, RPT

• Mental Health Counselor in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.