Individual provider Active NPI

Jonathan Hillel Fox, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1376882381
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2211 Issued in OR
Practice address
492 East 13TH Ave Ste 3
Eugene, OR 97401
Phone
(458) 215-1454
NPI assigned
Feb 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 90115 CA
Marriage & Family Therapist 106H00000X T2211 OR Primary

Addresses

Primary practice location

492 East 13TH Ave Ste 3
Eugene, OR 97401

Mailing address

1711 Willamette Street Ste 301
#234
Eugene, OR 97401-4593
Phone (707) 782-2857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240219000949 OR Practitioner - Marriage and Family Therapist 5799129714 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

492 E 13TH Ave
Suite 3
Eugene, OR 97401-4268
Phone (458) 215-1454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90115CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Psychotherapy LLC Marriage & Family Therapist Current Accepting new patients

Locations

1711 Willamette St
Ste 301
Eugene, OR 97401
Phone (208) 596-6910

Organizations & group practices 1

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1376882381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE STREET STE 301",
            "address_2": "#234",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014593",
            "telephone_number": "707-782-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 EAST 13TH AVE STE 3",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "458-215-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JONATHAN",
        "middle_name": "HILLEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90115",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.