Individual provider Active NPI

Robert Fox, LMHC, LADC I, CEAP

  • Mental Health Counselor
  • Burlington, MA
National Provider Identifier
1336294610
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5333 Issued in MA
Practice address
10 Mall Rd Ste 301
Burlington, MA 01803-4131
Phone
(781) 933-0200
Fax
(781) 933-0301
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2135 MA
Mental Health Counselor 101YM0800X 5333 MA Primary

Addresses

Primary practice location

10 Mall Rd Ste 301
Burlington, MA 01803-4131

Mailing address

10 Mall Rd Ste 301
Burlington, MA 01803-4131
Phone (781) 933-0200

Other identifiers 3

IdentifierTypeStateIssuer
LM1123OtherMABLUE CROSS-BLUE SHIELD ID
2135OtherMALICENSED ALCOHOL AND DRUG
5333OtherMALMHC LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1336294610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MALL RD STE 301",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034131",
            "telephone_number": "781-933-0200",
            "fax_number": "781-933-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MALL RD STE 301",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034131",
            "telephone_number": "781-933-0200",
            "fax_number": "781-933-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LMHC, LADC I, CEAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2135",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD ID",
            "identifier": "LM1123",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ALCOHOL AND DRUG",
            "identifier": "2135",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC LICENSE NUMBER",
            "identifier": "5333",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.