Steven Michael Fuller, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

200 Issued in OK

Practice address

4202 SW Lee Blvd.
Park Ridge Professional Center
Lawton, OK 73505

Phone

(580) 585-3346

NPI assigned

Jun 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. S. Michael Fuller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1699115139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730050655",
            "telephone_number": "580-585-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SW LEE BLVD.",
            "address_2": "PARK RIDGE PROFESSIONAL CENTER",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-585-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "200",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "88",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "FULLER",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "M.ED.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Felecia Froe, MD
• Brooklyn Frovarp, RN
• Heather Elaine Fry
• Kathryn Frye-Davies, MT-BC, LPMT
• Arzola Fuller
• Jessica Funk, NP-C
• Cynthia L Gable, M.S.,CCC-SLP
• David Gabriele
• Pamela F Gaddis
• Ronald Lynn Gaddis II

• Professional Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.