Regina Rae Fox, LPC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10655-125 Issued in WI

Practice address

533 Peace Pipe Road
Lac Du Flambeau, WI 54538-0189

Phone

(715) 588-1511

Fax

(715) 588-3903

NPI assigned

Nov 8, 2017

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ms. Regina Rae Fox Professional name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lac Courte Oreilles Governing BoardGroup PAC ID 7810983517, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lac Courte Oreilles Governing

  dba Lac Courte Oreilles Community Health Center

  • Clinic/Center
  • Hayward, WI
  • NPI 1194830208
  Medicare reassignment Care Compare group NPD
• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  dba Peter Christensen Health Center

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
  • NPI 1134235047
  NPD
• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  dba Family Resource Center

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
  • NPI 1306016563
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1013420322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061639",
            "telephone_number": "715-685-2200",
            "fax_number": "715-685-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE ROAD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545380189",
            "telephone_number": "715-588-1511",
            "fax_number": "715-588-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "REGINA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15988",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16333-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5036-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10655-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013420322",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "FOX",
            "middle_name": "RAE",
            "prefix": "MS.",
            "credential": "LPC, CSAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sheli Faust, PC, SAC-IT
• John M Filz, P.A.
• Christine Marie Fonger, RDH
• Heather J Fortin, R.D.,C.D.,C.S.C.S.
• DJ Foster, DDS
• Kimberly Lynn Fricke
• Andrew Friedley
• Sarah Jean Galloy, RDH
• Angela Marie Godard, RN, BSN
• Melvyn Golden, D.D.S.

• Professional Counselor in Lac Du Flambeau, WI
• Providers in Lac Du Flambeau, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.