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MARY-BIANCA GABRIELLE FULLER
NPI 1952806309
Counselor - Mental Health in Chicago, IL

Active since March 28, 2018
2000 N RACINE AVE STE 3300, CHICAGO, IL 60614(312) 485-3669 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2023, Mar 28, 2018 (2 updates tracked since 2018).

About Mary-bianca Gabrielle Fuller NPPES

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

MARY-BIANCA GABRIELLE FULLER (NPI 1952806309) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since March 2018. She maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1952806309
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY-BIANCA GABRIELLE FULLER
Location Address2000 N RACINE AVE STE 3300Chicago, IL 60614-7008
Mailing Address2000 N Racine AveChicago, IL 60614-7006 · (312) 485-3669
Phone(312) 485-3669
Sole ProprietorNo
Enumeration DateMarch 28, 2018
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1952806309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X
2000 N RACINE AVE STE 3300, Chicago, IL 60614
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Secondary Practice Location 1

Location 14152 30th Ave S Ste 104Fargo, ND 58104-8403 · Phone (701) 364-2663

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.

BRITTANY GARDNER
Social Worker (Clinical)
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (773) 413-9523
DAVIDA DAWANA FULLER LCSW
Social Worker (Clinical)
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (773) 413-9523
MARLENE PENA LSW
Social Worker
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (773) 413-9523
RACHAEL MARY DRAPCHO LPC
Counselor (Professional)
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (773) 413-9523
JULIA BRAY CRISMAN
Counselor (Mental Health)
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (773) 413-9523
SHANITA BROWN
Social Worker (Clinical)
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (708) 629-9756
JANINE ELINA SNYDER LCSW
Social Worker (Clinical)
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (773) 413-9523
SAMANTHA CAMPBELL MSW, LSW
Social Worker
2000 N RACINE AVE STE 3300
CHICAGO, IL 60614
Cook County (773) 413-9523

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 Mary-bianca Fuller's NPI number?

The NPI number for Mary-bianca Fuller is 1952806309. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Mary-bianca Fuller located?

Mary-bianca Fuller practices at 2000 N Racine Ave Ste 3300, Chicago, IL 60614. The listed phone number is (312) 485-3669.

What is Mary-bianca 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 Mary-bianca Fuller was last updated on August 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.