Active NPI
Shelly Noelle Fox, MA
- Mental Health Counselor
- Floyd, VA
National Provider Identifier
1326797226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704014663
- Practice address
- 401 S Locust St
Floyd, VA 24091-2323 - Phone
- (540) 501-7169
- Fax
- (540) 745-4706
- NPI assigned
- Mar 20, 2022
- Last updated
- Mar 20, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704014663 | VA | Primary |
Addresses
Primary practice location
401 S Locust St
Floyd, VA 24091-2323
Mailing address
PO Box 975
Floyd, VA 24091-0975
Phone (540) 501-7169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
209 W Main St
Floyd, VA 24091-3190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704014663 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenecare Counseling LLC | Current | Accepting new patients | |
| Nurture Nature LLC | Current | Accepting new patients |
Locations
401 S Locust St
Floyd, VA 24091
Phone (540) 315-0417
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Floyd, VA
- NPI 1871486019
-
- Clinical Social Worker
- Floyd, VA
- NPI 1417490145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647734400000",
"number": "1326797226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 975",
"city": "FLOYD",
"state": "VA",
"postal_code": "240910975",
"telephone_number": "540-501-7169",
"fax_number": "540-745-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S LOCUST ST",
"city": "FLOYD",
"state": "VA",
"postal_code": "240912323",
"telephone_number": "540-501-7169",
"fax_number": "540-745-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "SHELLY",
"middle_name": "NOELLE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-20",
"last_updated": "2022-03-20",
"certification_date": "2022-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704014663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floyd, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.