Active NPI
Robin Memel Fox, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1003687278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10701
- Practice address
- 1717 N Tucson Blvd
Tucson, AZ 85716-3074 - Phone
- (520) 372-2672
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dance Therapist | 225600000X | |||
| Professional Counselor | 101YP2500X | LPC-10701 | AZ | Primary |
Addresses
Primary practice location
1717 N Tucson Blvd
Tucson, AZ 85716-3074
Mailing address
1717 N Tucson Blvd
Tucson, AZ 85716-3074
Phone (520) 372-2672
Other practice location 1
2231 N Indian Ruins Rd Ste 1
Tucson, AZ 85715-5330
Phone (520) 861-8559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-10701 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relationship Renovation Counseling Center | Current | Accepting new patients |
Locations
1717 N Tucson Blvd
Tucson, AZ 85716
Phone (520) 372-2672
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1952820243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1003687278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163074",
"telephone_number": "520-372-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N TUCSON BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163074",
"telephone_number": "520-372-2672"
}
],
"practiceLocations": [
{
"address_1": "2231 N Indian Ruins Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857155330",
"country_code": "US",
"telephone_number": "520-861-8559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEMEL FOX",
"first_name": "ROBIN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dance Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-10701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.