Fuller Counseling Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULLER COUNSELING GROUP LLC

Practice address

5100 N Ravenswood Ave Ste 233
Chicago, IL 60640-1752

Phone

(773) 310-1583

Fax

(773) 664-0828

NPI assigned

Jun 9, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Fuller, LCPCNPI 1740429596

Title

Managing Partner

Phone

(773) 310-1583

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynne Fuller, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1740429596
  NPD (past) Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881123032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE STE 233",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401752",
            "telephone_number": "773-310-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE STE 233",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401752",
            "telephone_number": "773-310-1583",
            "fax_number": "773-664-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "773-310-1583",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1740429596",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Full Circle Women's Health and Birth
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• Amanda Full, DVM, DACVIM
• Dominic Edward Fullenkamp, M.D.
• Fuller Health Group LLC
• Alexis Fuller, LCSW
• Alisha Fuller, LPC
• Anna Fuller, APN
• Brittany Anne Fuller

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.