Yasmeen Fuller, MA, LRC-LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704013573 Issued in VA

Practice address

101 S Whiting St
Alexandria, VA 22304-3418

Phone

(571) 257-8634

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1649939364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043418",
            "telephone_number": "571-257-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WHITING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043418",
            "telephone_number": "571-257-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 Forest Point Cir",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104700",
            "country_code": "US",
            "telephone_number": "703-796-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "YASMEEN",
        "credential": "MA, LRC-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704013573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@gcll.org",
            "affiliation": "N",
            "address_1": "101 S Whiting St",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223043418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.