REBECCA SUE FULLER


Address: 132 E Broadway Ste 301, Eugene, OR 97401-3154
Phone: 5415798644

REBECCA SUE FULLER (NPI# 1013548213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013548213
Entity Type Individual
Full Name REBECCA SUE FULLER
Credential MA, LPC
Practice Address 132 E Broadway Ste 301
Eugene
OR 97401-3154
Mailing Address 1945 Harvey Rd
Cottage Grove
OR 97424-1286
Practice Telephone 5415798644
Mailing Telephone 5038034867
Enumeration Date 2020-01-28
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor C3586 OR Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1945 Harvey Rd, Cottage Grove, OR 974241286 5038034867

Other Providers REBECCA FULLER

NPI Name Taxonomy Address Enumeration
1578678199 Rebecca Wheat Fuller Dietitian, Registered 1930 Country Club Blvd, Sugar Land, TX 77478-3910 2006-08-21
1831617646 Rebecca Lynn Fuller Dietitian, Registered 3229 E Genesee St, Syracuse, NY 13214-2016 2017-08-31
1588007827 Rebecca Fuller Student in an Organized Health Care Education/Training Program 13335 W Missouri Ave, Litchfield Park, AZ 85340-8500 2013-04-16
1881945392 Rebecca Ann Fuller Speech-Language Pathologist 2815 County Highway I, Chippewa Falls, WI 54729-2656 2012-09-24
1558662494 Rebecca Christine Fuller Dietitian, Registered 3000 St Matthews Rd, Orangeburg, SC 29118-1498 2010-11-09
1083818389 Rebecca Baldwin Fuller Nurse Practitioner 209 Gibson St Nw, Suite 202, Leesburg, VA 20176-2122 2007-06-12

Office Location

Street Address 132 E BROADWAY STE 301
City EUGENE
State OR
Zip Code 97401-3154

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073905758 Brent Horner Psychologist 132 E Broadway Ste 301, Eugene, OR 97401-3154 2015-03-04
1720612963 Rebecca S Fuller Ma, Lpc Clinic/Center 132 E Broadway Ste 301, Eugene, OR 97401-3154 2020-02-26
1932758224 Dr. Stacie Rowan, LLC Clinic/Center 132 E Broadway Ste 301, Eugene, OR 97401-3154 2019-09-09
1134788946 Eugene Psychotherapy LLC Clinic/Center 132 E Broadway Ste 301, Eugene, OR 97401-3154 2019-06-06
1033697768 Jenelle M'lou Braun Stone Counselor 132 E Broadway Ste 301, Eugene, OR 97401-3154 2018-08-03
1861994709 Zankhana Smith Psychologist 132 E Broadway Ste 301, Eugene, OR 97401-3154 2018-03-07
1972031391 Dr Brent Horner LLC Psychologist 132 E Broadway Ste 301, Eugene, OR 97401-3154 2017-05-30
1578937298 Stacie Rowan Psychologist 132 E Broadway Ste 301, Eugene, OR 97401-3154 2015-11-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427681709 Sarah Voigt Counselor 2149 Centennial Plaza Suite #4, Eugene, OR 97401 2020-02-14
1801426242 Therapeutic Associates, Inc. Physical Therapist 760 Charnelton St., Suite 760, Eugene, OR 97401 2020-01-24
1225676232 Aaron James Barber Massage Therapist 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 2019-12-20
1851957047 Altru Home Care LLC Nursing Care 1345 Olive St., Eugene, OR 97401 2019-05-14
1881155208 Herron Jordanna Spence Speech-Language Pathologist 385 West 2nd Ave., Eugene, OR 97401 2019-03-28
1750855094 Brandon Marshall Counselor 1158 High St Ste 202, Eugene, OR 97401 2019-01-21
1881172591 Kayla Nicole O'brien Nurse Practitioner Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 2018-08-03
1962992180 Shannon Jensen Smyth Counselor Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 2018-05-14
1902305956 Christine Noel Gray Peer Specialist 499 W. 4th Ave, Eugene, OR 97401 2018-02-06
1821507344 Anjuli Chitkara Psychologist 1679 Willamette Street, Eugene, OR 97401 2017-09-27
Find all providers in zip 97401

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619575354 Erica Cross Counselor 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 2020-10-14
1689296113 Ruby Joy Garcia Counselor 970 W 7th Ave, Eugene, OR 97402-4612 2020-05-06
1578118931 Kindra Maline French Counselor 767 W 8th Ave, Eugene, OR 97402-5139 2019-08-02
1083272900 Sarah Louise Stutzman Counselor Oregon Community Programs, 1170 Pearl St, Eugene, OR 97401-3541 2019-06-05
1699251744 Isabella Arlo Jane Silver Counselor 970 W 7th Ave., Eugene, OR 97402 2018-07-12
1114412178 Sarah Jane Kahler Counselor 3500 Chad Dr Ste 350, Eugene, OR 97408-7426 2018-06-22
1417444217 White Bird Clinic Counselor 341 E. 12th, Eugene, OR 97401-3212 2018-04-17
1346747854 White Bird Clinic Counselor 341 East 12th Ave, Eugene, OR 97401-3212 2018-04-11
1891292314 White Bird Clinic Counselor 341 East 12th Avenue, Eugene, OR 97401-3212 2018-04-11
1992230940 Michelle Maher Counselor 1060 Almaden St, Eugene, OR 97402-3739 2017-04-27
Find all providers in EUGENE

Competitor

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City EUGENE
Zip Code 97401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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