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JENNIFER ANN FULLER
NPI 1386305928
Counselor - Mental Health in Long Beach, CA

Active since January 05, 2022
1301 PINE AVE, LONG BEACH, CA 90813(562) 595-1159 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Sep 14, 2022, Sep 7, 2022 and 1 more (4 updates tracked since 2022).

About Jennifer Ann Fuller NPPES

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

JENNIFER ANN FULLER (NPI 1386305928) is an individual mental health provider in Long Beach, California, licensed in California (112365) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1386305928
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER ANN FULLER
Location Address1301 PINE AVELong Beach, CA 90813-3124
Mailing Address375 Termino Ave Apt ILong Beach, CA 90814-2870 · (424) 340-4522
Phone(562) 595-1159
Sole ProprietorYes
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJune 29, 20234 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1386305928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 112365
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 112365 (CA)
Also ListedRehabilitation PractitionerTaxonomy 225400000X
1301 PINE AVE, Long Beach, CA 90813
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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.

DR. EMILY LOUISE MINTER STAVAS PSYD.
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. CHLOE RUSSELL PSY.D.
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. MINDY MUELLER PSYD
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1713
KRISTIN SIMONE MCNEESE
Social Worker (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 833-3502
TERESA GUILLEN
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1704
SARIKA BAHL M.A.
Student in an Organized Health Care Education/Training Program
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. JOHN NICHOLAS LEGGIO
Rehabilitation Counselor
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
GABRIELA SINOHUI
Social Worker (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159

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 Jennifer Fuller's NPI number?

The NPI number for Jennifer Fuller is 1386305928. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Jennifer Fuller located?

Jennifer Fuller practices at 1301 Pine Ave, Long Beach, CA 90813. The listed phone number is (562) 595-1159.

What is Jennifer 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 Jennifer Fuller was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.