LISA FULLER
NPI 1285458315
Counselor in Jacksonville, FL

NPI Status: Active since November 14, 2024

Contact Information

1904 FARRAGUT PL
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 868-0994

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  • Individual
  • Female
  • Counselor

About LISA FULLER

This page provides the complete NPI Profile along with additional information for Lisa Fuller, a provider established in Jacksonville, Florida with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1285458315 assigned on November 2024. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1285458315
Provider Name
LISA FULLER
Gender
Female
Entity Type
Individual
Location Address
1904 FARRAGUT PL JACKSONVILLE, FL 32207
Location Phone
(904) 868-0994
Mailing Address
2534 VICTORIA POINT DR JACKSONVILLE, FL 32218
Mailing Phone
(904) 868-0994
Is Sole Proprietor?
Yes
Enumeration Date
11-14-2024
Last Update Date
11-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285458315
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165851632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 8 + 5 + 1 + 6 + 3 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285458315 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548757693TSI HEALTH, LLC
Organization
Behavior Analyst1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1023759743MR. BRETT LEE SPRUILL II
Individual
Behavior Analyst1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 401-9320
1659001469 ANNIELEE PALMER
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 305-6166
1700592953TSI HEALTH, LLC
Organization
Counselor (Mental Health)1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1316641921 LEILANI MARIE DULLAS
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1376248807 ALEXUS RENE' COLEMAN
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 625-3860
1437833191 PICHTHYDA CHEN
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 859-0308
1568246270 JILLIAN PAIGE FLOYD
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1063257129 EMERITA M STONE
Individual
Counselor (Mental Health)1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1326425315DR. JOANNA LEA ALE LMHC, CIC
Individual
Behavior Analyst1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1902641806 TASURA JOINER
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1659118354 PHI NGUYEN
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1841940921MRS. MARILYN FELECIA YOUNG
Individual
Behavior Technician1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131
1255151221 ELISA MILLER
Individual
Counselor1904 FARRAGUT PL
JACKSONVILLE, FL 32207
(904) 503-0131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285458315, enumerated in the NPI registry as an "individual" on November 14, 2024

The provider is located at 1904 Farragut Pl Jacksonville, Fl 32207 and the phone number is (904) 868-0994

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on November 14, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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