Individual provider Active NPI

Kendra Michelle Thorington-Fox, LPC

  • Mental Health Counselor
  • Dearborn Heights, MI
National Provider Identifier
1033485370
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401011827 Issued in MI
Practice address
24500 Ford Rd Ste 3
Dearborn Heights, MI 48127-3145
Phone
(248) 629-9169
Fax
(248) 250-5392
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 6401011827 MI Primary

Addresses

Primary practice location

24500 Ford Rd Ste 3
Dearborn Heights, MI 48127-3145

Mailing address

14200 W 8 Mile Rd Unit 47526
Oak Park, MI 48237-7765
Phone (248) 629-9169

Other practice location 1

850 Stephenson Hwy
Suite 210
Troy, MI 48083-1152
Phone (248) 585-3239

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

LicenseStateTypeSpecialty
6401011827MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diverse Resolutions Addiction (Substance Use Disorder) CurrentSince Dec 9, 2019 Accepting new patients
River'S Bend, P.C. Addiction (Substance Use Disorder) PastSince Jan 5, 2007 Accepting new patients

Locations

24500 Ford Rd
Ste 3
Dearborn Heights, MI 48127
Phone (248) 629-9169

14200 W 8 Mile Rd
Unit 47526
Oak Park, MI 48237

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1033485370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 W 8 MILE RD UNIT 47526",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482377765",
            "telephone_number": "248-629-9169",
            "fax_number": "248-250-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 FORD RD STE 3",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273145",
            "telephone_number": "248-629-9169",
            "fax_number": "248-250-5392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Stephenson Hwy",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831152",
            "country_code": "US",
            "telephone_number": "248-585-3239",
            "fax_number": "248-616-9759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORINGTON-FOX",
        "first_name": "KENDRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.