Individual provider Active NPI

Lyn Fox

  • Professional Counselor
  • Shelton, CT
National Provider Identifier
1205378684
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002026 Issued in CT
Practice address
25 Church St
Shelton, CT 06484-5802
Phone
(203) 929-1117
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002026 CT Primary

Addresses

Primary practice location

25 Church St
Shelton, CT 06484-5802

Mailing address

25 Church St
Shelton, CT 06484-5802
Phone (203) 929-1117

Other identifiers 1

IdentifierTypeStateIssuer
061072598MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20240903003885 CT Practitioner - Mental Health Counselor 8527507698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contemporary Care LLCGroup PAC ID 9537408141, 30 clinicians

Practice addresses (Care Compare)

81 Holly Hill LN
FL 2
Greenwich, CT 06830-6071
Phone (203) 792-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002026CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Care, LLC CurrentSince Aug 7, 2024 Accepting new patients
Contemporary Care LLC CurrentSince Aug 7, 2024 Accepting new patients
The Christian Counseling and Family Life Center, Inc. Past Accepting new patients

Locations

84 Hospital Ave
Danbury, CT 06810
Phone (203) 792-0400

81 Holly Hill Ln
Fl 2
Greenwich, CT 06830
Phone (203) 321-5063

Organizations & group practices 3

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1205378684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHURCH ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845802",
            "telephone_number": "203-929-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845802",
            "telephone_number": "203-929-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061072598",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.