Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel J Fuller, MS, LPC

Individual provider Mental Health Counselor · NPI 1306700976

Samuel J Fuller, MS, LPC is a Mental Health Counselor in Nampa, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

207 W Georgia Ave Apt 202
Nampa, ID 83686-3024
Phone: (307) 204-7560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7871077 (ID)

Record details

NPI number1306700976
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC
Sole proprietorYes
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address4332 E Thomas Mill Dr, Nampa, ID 83686-3020

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