Active NPI
Barbara Jo Fuller, MS
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1790091346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1350 N Orange Ave
Suite 223
Winter Park, FL 32789-4945 - Phone
- (407) 644-4367
- NPI assigned
- Aug 20, 2010
- Last updated
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1350 N Orange Ave
Suite 223
Winter Park, FL 32789-4945
Mailing address
7151 Mailler St
Orlando, FL 32818-8861
Phone (407) 716-7668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Behavioral Health Services LLC | Mental Health | Current | Accepting new patients |
| Full Circle Behavioral Health | Mental Health | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Orlando, FL
- NPI 1285119032
-
- Mental Health Counselor
- Orlando, FL
- NPI 1073029252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1790091346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7151 MAILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328188861",
"telephone_number": "407-716-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 N ORANGE AVE",
"address_2": "SUITE 223",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894945",
"telephone_number": "407-644-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "BARBARA",
"middle_name": "JO",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.