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CYNTHIA FULLWOOD-FLECK MFT, PCC
NPI 1023247178
Marriage & Family Therapist in Stockton, CA

Active since July 10, 2009PECOS Enrolled
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8750 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Dec 3, 2024, Nov 15, 2024 (3 updates tracked since 2024).

About Cynthia Fullwood-fleck Mft, Pcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA FULLWOOD-FLECK MFT, PCC (NPI 1023247178) is an individual marriage & family therapist in Stockton, California, licensed in North Carolina (1972) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Raleigh, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1023247178
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCYNTHIA FULLWOOD-FLECKCredential: MFT, PCC
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address3042 Imperial Oaks DrRaleigh, NC 27614-7000 · (510) 593-4740
Phone(209) 468-8750
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1023247178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in NC · 1972✔ Licensed in CA · 53745
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1212 N CALIFORNIA ST, Stockton, CA 95202
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Secondary Practice Location 1

Location 13000 New Bern AveRaleigh, NC 27610-1231 · Phone (919) 350-7722 · Fax (919) 350-2995

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Fullwood-fleck Mft, Pcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426585290
PECOS Enrollment IDI20260521001688
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Cynthia Fullwood-fleck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Joaquin County Behavioral Health Services
Same address
Mental Health (Including Community Mental Health Center)
1212 N CALIFORNIA ST
Stockton, CA 95202
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group
NPI 1043426869 (209) 468-8700
Wakemed
2,350 mi
Internal Medicine
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 182 clinicians in this Medicare group
NPI 1194907717 (919) 350-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686
SAMMY VILLAMAR ARRIOLA
Community Health Worker
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-0102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Fullwood-fleck's NPI number?

The NPI number for Cynthia Fullwood-fleck is 1023247178. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Cynthia Fullwood-fleck located?

Cynthia Fullwood-fleck practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8750.

What is Cynthia Fullwood-fleck's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Cynthia Fullwood-fleck enrolled in Medicare?

Yes. Cynthia Fullwood-fleck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cynthia Fullwood-fleck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Fullwood-fleck reassigns Medicare benefits to 2 organizations: San Joaquin County Behavioral Health Services (Stockton, CA) and Wakemed (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cynthia Fullwood-fleck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cynthia Fullwood-fleck was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.