Christopher Fuller, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

70793 Issued in TX

Practice address

620 E Afton Oaks Blvd
San Antonio, TX 78232-1236

Phone

(210) 568-8600

NPI assigned

Nov 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1255704425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E AFTON OAKS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321236",
            "telephone_number": "210-568-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E AFTON OAKS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321236",
            "telephone_number": "210-568-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alisa Scott Fuller, RBT
• Amy M Fuller, PHD
• Catherine Marie Fuller, MS, FNP-C
• Clifton Henry Fuller, LCSW, LPC, LMFT
• Dane Fuller
• Gerry L. Fuller, LCSW
• Pamela Fay Fuller
• Terrance Fuller

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.