Individual provider Active NPI

Kimberly Patrice Fox, LPC, RPT

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1346847761
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80278 Issued in TX
Practice address
17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098
Phone
(210) 314-2026
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80278 TX Primary

Addresses

Primary practice location

17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098

Mailing address

17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098
Phone (210) 314-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520001057 TX Practitioner - Mental Health Counselor 4587005772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Fox Counseling PLLC Current Accepting new patients

Locations

17890 Blanco Rd
Ste 307
San Antonio, TX 78232
Phone (210) 314-2026

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1346847761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17890 BLANCO RD STE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321098",
            "telephone_number": "210-314-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17890 BLANCO RD STE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321098",
            "telephone_number": "210-314-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "KIMBERLY",
        "middle_name": "PATRICE",
        "credential": "LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.