Samuel J Fuller, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7871077 Issued in ID

Practice address

207 W Georgia Ave Apt 202
Nampa, ID 83686-3024

Phone

(307) 204-7560

NPI assigned

Dec 9, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1306700976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 E THOMAS MILL DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836863020",
            "telephone_number": "208-461-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GEORGIA AVE APT 202",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836863024",
            "telephone_number": "307-204-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "7871077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie-Lee Jesse Fruit, CPHT
• Nathan Scott Fuhriman, LPC
• Full Circle Health, Inc.
• Ciarra N Fuller, LCSW
• Michael Jay Fuller, M.ED, MSW
• Brenda R. Fulton, LMSW
• Functional Medicine Center of Boise LLC
• Patricia J Funkhouser, DNP
• Melissa E Funston, LPC, CADC
• Aaron Gabrielsen, HIS

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.