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MS. KISHI FULLER MFT
NPI 1124303540
Marriage & Family Therapist in San Francisco, CA

Active since October 17, 2011PECOS Enrolled
1801 BUSH ST STE 212, SAN FRANCISCO, CA 94109(415) 744-1994 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kishi Fuller Mft NPPES

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

MS. KISHI FULLER MFT (NPI 1124303540) is an individual marriage & family therapist in San Francisco, California, licensed in California (MFC47554) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124303540
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KISHI FULLERCredential: MFT
Location Address1801 BUSH ST STE 212San Francisco, CA 94109-5297
Mailing Address1801 Bush St Ste 212San Francisco, CA 94109-5297 · (415) 744-1994
Phone(415) 744-1994
Sole ProprietorYes
Enumeration DateOctober 17, 2011
✔ NPI 1124303540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC47554
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.
1801 BUSH ST STE 212, San Francisco, CA 94109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kishi Fuller Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kishi Fuller's NPI number?

The NPI number for Kishi Fuller is 1124303540. It was assigned to this individual provider in the NPPES registry on October 17, 2011.

Where is Kishi Fuller located?

Kishi Fuller practices at 1801 Bush St Ste 212, San Francisco, CA 94109. The listed phone number is (415) 744-1994.

What is Kishi Fuller's specialty?

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

Is Kishi Fuller enrolled in Medicare?

Yes. Kishi Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kishi Fuller was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.