James O. Fuller, PH. D., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000402A Issued in IN

Practice address

718 W Spencer Ave
Marion, IN 46952-3424

Phone

(765) 677-2570

Fax

(765) 677-1456

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154537959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W SPENCER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523424",
            "telephone_number": "765-677-2570",
            "fax_number": "765-677-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W SPENCER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523424",
            "telephone_number": "765-677-2570",
            "fax_number": "765-677-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JAMES",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "PH. D., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000402A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC NUMBER",
            "identifier": "39000402A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aryanna Friend
• Shelby D Fritz, M.A. CF-SLP
• Ashlyn Leigh Fry
• Jody Fry, LCSW
• Kelsi Fulda, FNP-C
• Jeffrey S Fuller, NP
• Taylor Marie Gaillard
• Phillip Vincent Galeon
• Kenneth Edward Gallagher, MD
• Mary Joy Gallaway, DNP

• Mental Health Counselor in Marion, IN
• Providers in Marion, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.