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SAMUEL J FULLER MS, LPC
NPI 1306700976
Counselor - Mental Health in Nampa, ID

Active since December 09, 2025
207 W GEORGIA AVE APT 202, NAMPA, ID 83686(307) 204-7560 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel J Fuller Ms, Lpc NPPES

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

SAMUEL J FULLER MS, LPC (NPI 1306700976) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (7871077) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1306700976
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL J FULLERCredential: MS, LPC
Location Address207 W GEORGIA AVE APT 202Nampa, ID 83686-3024
Mailing Address4332 E Thomas Mill DrNampa, ID 83686-3020 · (208) 461-1133
Phone(307) 204-7560
Sole ProprietorYes
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1306700976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · 7871077
207 W GEORGIA AVE APT 202, Nampa, ID 83686
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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 Samuel Fuller's NPI number?

The NPI number for Samuel Fuller is 1306700976. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Samuel Fuller located?

Samuel Fuller practices at 207 W Georgia Ave Apt 202, Nampa, ID 83686. The listed phone number is (307) 204-7560.

What is Samuel Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samuel Fuller was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.