Active NPI
Christine C Fox, LPC
- Professional Counselor
- Media, PA
National Provider Identifier
1043357833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 004391
- Practice address
- 209 E Fourth St
Media, PA 19063-3008 - Phone
- (610) 566-5618
- NPI assigned
- Jan 31, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PC004391 | PA | |
| Clinical Social Worker | 1041C0700X | PC004391 | PA | |
| Professional Counselor | 101YP2500X | 004391 | PA | Primary |
Addresses
Primary practice location
209 E Fourth St
Media, PA 19063-3008
Mailing address
209 E Fourth St
Media, PA 19063-3008
Phone (610) 566-5618
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 |
|---|---|---|---|
| 004391 | PA | MD | Professional Counselor |
| PC004391 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Psychological PC | Past | Accepting new patients |
Interoperability endpoints
- christine.fox.1@28623.direct.athenahealth.com
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.
-
- Mental Health Counselor
- Springfield, PA
- NPI 1295705317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1043357833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E FOURTH ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633008",
"telephone_number": "610-566-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E FOURTH ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633008",
"telephone_number": "610-566-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "CHRISTINE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "PC004391",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "PC004391",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "004391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.