Organization Active NPI

Full Circle Addiction and Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • San Rafael, CA
National Provider Identifier
1427507789
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LMFT53885 Issued in CA
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

Updated by the provider on Dec 13, 2016

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.