Levi Fox

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.173234 Issued in OH

Practice address

6202 Trust Dr
Holland, OH 43528-8425

Phone

(419) 824-8462

NPI assigned

Jun 22, 2020

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Racing for Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Holland, OH
  • NPI 1265023592
  NPD
• Racing for Recovery

  • Community/Behavioral Health Agency
  • Holland, OH
  • NPI 1528411097

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1255957635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 TRUST DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288425",
            "telephone_number": "419-824-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 TRUST DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288425",
            "telephone_number": "419-824-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "LEVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.173234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forever in Our Care Residential Services. LLC
• Jane Marie Fortener, OTR/L
• Four Heirs Holdings LLC
• Jeffery Ryan Fout
• Andre Fox
• Stefanie Lynn Fox, CNP
• Osama Francis, FNP
• Karen Clair Franks, RN BSN
• Keyona Chaquelle Freeman, LPN
• Tyler Fry

• Addiction (Substance Use Disorder) Counselor in Holland, OH
• Providers in Holland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.