Samaiyah Fullylove

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-24841 Issued in AZ

Practice address

8607 N 59TH Ave Ste C1
Glendale, AZ 85302-5435

Phone

(602) 842-3130

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1861262008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 N 59TH AVE STE C1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025435",
            "telephone_number": "602-842-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 N 59TH AVE STE C1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025435",
            "telephone_number": "602-842-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLYLOVE",
        "first_name": "SAMAIYAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-24841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FSL Pathways
• FSL Programs
• Brianna J Fuhrman-Johnson, LMT
• Hayden Reese Fuller
• Christopher Leigh Fullmer
• Mary Beth Funnell, RN
• Catherine G Furey, OD
• Edward Kelly Furlong, DMD
• Deanna Fussy, FNP
• Kristen Fyfe

• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.