Agnieszka Katarzyna Mamczur-Fuller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010296 Issued in NY

Practice address

44 Perry St
Belleville, NJ 07109-2033

Phone

(917) 753-9708

NPI assigned

Jul 28, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1619899952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PERRY ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092033",
            "telephone_number": "917-753-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PERRY ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092033",
            "telephone_number": "917-753-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMCZUR-FULLER",
        "first_name": "AGNIESZKA",
        "middle_name": "KATARZYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00797300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Wachter Mali, PA-C
• Faiza Malik, MD
• Diane Mallach, LCSW
• Sam Mauri Escalona Mallari, DPT
• Colleen Anne Maloney, PA-C
• Shakti D Manbode, MOBILE PHLEBOTOMIST
• Sonia Rani Mandal, MS
• Stephanie Manfredi, PA-C
• Lynda Mann Bos, PT
• Yamile Manotas, M.ED., LPC

• Mental Health Counselor in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.