Active NPI
Renee Theresa Fox, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1033448659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8915
- Practice address
- 2577 Park St
Jacksonville, FL 32204-4554 - Phone
- (904) 874-4907
- Fax
- (877) 768-4670
- NPI assigned
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8915 | FL | Primary |
Addresses
Primary practice location
2577 Park St
Jacksonville, FL 32204-4554
Mailing address
2577 Park St
Jacksonville, FL 32204-4554
Phone (904) 874-4907
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH8915 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1033448659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 PARK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044554",
"telephone_number": "904-874-4907",
"fax_number": "877-768-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 PARK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044554",
"telephone_number": "904-874-4907",
"fax_number": "877-768-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "RENEE",
"middle_name": "THERESA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.