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

Q: 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.

Q: What is Cynthia Fullwood-fleck's specialty?

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

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: August 23, 2026.

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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))