Active NPI
Beth Ann Bloomfield-Fox, LPC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1306372180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-18716
- Practice address
- 1234 S Power Rd Ste 250
Mesa, AZ 85206-3742 - Phone
- (480) 630-7750
- NPI assigned
- May 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-18716 | AZ | Primary |
Addresses
Primary practice location
1234 S Power Rd Ste 250
Mesa, AZ 85206-3742
Mailing address
6720 E Ensenada St
Mesa, AZ 85205-6053
Phone (480) 294-8843
Other practice location 1
202 E Earll Dr
#160
Phoenix, AZ 85012-2634
Phone (480) 471-8560
Other names 1
- Beth Ann Fox
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 |
|---|---|---|---|
| LPC-18716 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Betherapy Counseling, LLC | Current | Accepting new patients |
Interoperability endpoints
- bethbloomfieldfox@tdh.allscriptsdirect.net
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1205467974
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1306372180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 E ENSENADA ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852056053",
"telephone_number": "480-294-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 S POWER RD STE 250",
"city": "MESA",
"state": "AZ",
"postal_code": "852063742",
"telephone_number": "480-630-7750"
}
],
"practiceLocations": [
{
"address_1": "202 E Earll Dr",
"address_2": "#160",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122634",
"country_code": "US",
"telephone_number": "480-471-8560",
"fax_number": "888-979-8197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOMFIELD-FOX",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-18716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "FOX",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.