Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fuller Life Concepts

Mental Health Counselor in Lakewood, CA · enumerated 2019 · authorized official Kim Fuller, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053979278

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Registry record

Entity type Organization (Type 2)

Legal business name Fuller Life Concepts

Practice address 5150 Candlewood St Ste 18c, Lakewood, CA, 90712

Phone (323) 334-0064

Enumeration date Jun 3, 2019

Last updated in NPPES Jun 3, 2019

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

251B00000X Case Management Agency Agencies Secondary

251S00000X Community/Behavioral Health Agency Agencies Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary

Authorized official

Name Kim Fuller

Title Ceo

Phone (323) 336-2294

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Fuller Life Concepts located?

The practice location on file with NPPES is in Lakewood, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-06-03. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Joanna Amenero Clinical Social Worker · Lakewood, CA NPI 1134690621

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-03.