Samantha Anne Fox, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.018820 Issued in IL

Practice address

215 Remington Blvd Ste G
Bolingbrook, IL 60440-3663

Phone

(630) 410-9578

Fax

(630) 296-0749

NPI assigned

Feb 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 8, 2025 through Dec 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Calm Mind Counseling Center, PLLC

  • Mental Health Counselor
  • Forest Park, IL
  • NPI 1790333938
  NPD (past)

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1245936327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403663",
            "telephone_number": "630-410-9578",
            "fax_number": "630-296-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403663",
            "telephone_number": "630-410-9578",
            "fax_number": "630-296-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "178.018820",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myrna Folga, RPH
• For Eyes Optical of PA
• Forefront Dermatology, S.C.
• Julia Kathryn Foster
• Lorris Fowler, PHARM D
• Hal Scott Frankel, O.D.
• Jennifer Rose Frankowicz
• Carol E Frenzel, HYGENIST
• Tyson L Frenzel, DDS
• Richard W Freund, PT

• Professional Counselor in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.