Active NPI
Full Circle Addiction and Recovery Services
- Addiction (Substance Use Disorder) Counselor
- San Rafael, CA
National Provider Identifier
1427507789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LMFT53885
- Legal business name
- FULL CIRCLE ADDICTION AND RECOVERY SERVICES
- Practice address
- 1104 Lincoln Ave
San Rafael, CA 94901-3245 - Phone
- (415) 202-6255
- Fax
- (888) 206-1376
- NPI assigned
- Sep 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Ann Biglieri
- Title
- Director of Client Services
- Phone
- (415) 202-6255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LMFT53885 | CA | Primary |
Addresses
Primary practice location
1104 Lincoln Ave
San Rafael, CA 94901-3245
Mailing address
PO Box 2813
San Anselmo, CA 94979-2813
Phone (415) 202-6255
National Provider Directory
National Provider DirectoryLocations
1104 Lincoln Ave
San Rafael, CA 94901
Phone (415) 202-6255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481587200000",
"number": "1427507789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2813",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949792813",
"telephone_number": "415-202-6255",
"fax_number": "888-206-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 LINCOLN AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013245",
"telephone_number": "415-202-6255",
"fax_number": "888-206-1376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE ADDICTION AND RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-28",
"last_updated": "2016-12-13",
"status": "A",
"authorized_official_last_name": "BIGLIERI",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
"authorized_official_telephone_number": "415-202-6255"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LMFT53885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.