Individual provider Active NPI

Keith D Fox, M.S.

  • Professional Counselor
  • Allentown, PA
National Provider Identifier
1376641498
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004242 Issued in PA
Practice address
3080 Hamilton Blvd Ste 200
Allentown, PA 18103-3692
Phone
(484) 661-4642
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X PC004242 PA
Professional Counselor 101YP2500X PC004242 PA Primary

Addresses

Primary practice location

3080 Hamilton Blvd Ste 200
Allentown, PA 18103-3692

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

2045 Westgate Dr Ste 206
Bethlehem, PA 18017-7475
Phone (610) 596-4222

Other practice location 2

961 Marcon Blvd
Suite 312
Allentown, PA 18109-9521
Phone (610) 349-8440

Other practice location 3

904 Front St
Whitehall, PA 18052-5906
Phone (610) 349-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250903000084 PA Practitioner - Mental Health Counselor 4587165212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC004242PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 15, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 15, 2025 Accepting new patients
Lehigh Valley Physician Group Multi-Specialty Current Accepting new patients
Theodoredis Counseling LLC Professional PastSince Jul 23, 2018 Accepting new patients

Locations

3080 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (484) 661-4641

2100 Mack Blvd
Fl 4
Allentown, PA 18103

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1376641498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HAMILTON BLVD STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033692",
            "telephone_number": "484-661-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Westgate Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177475",
            "country_code": "US",
            "telephone_number": "610-596-4222",
            "fax_number": "610-740-4575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "961 Marcon Blvd",
            "address_2": "Suite 312",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181099521",
            "country_code": "US",
            "telephone_number": "610-349-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Front St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "PA",
            "postal_code": "180525906",
            "country_code": "US",
            "telephone_number": "610-349-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004242",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.