Active NPI
Daren Denzel Fox, MA, TLLP
- Counseling Psychologist
- Niles, MI
National Provider Identifier
1386127306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 630101707
- Practice address
- 1225 S 11TH St
Niles, MI 49120-3408 - Phone
- (269) 684-7741
- NPI assigned
- Sep 14, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 630101707 | MI | Primary |
Addresses
Primary practice location
1225 S 11TH St
Niles, MI 49120-3408
Mailing address
1225 S 11TH St
Niles, MI 49120-3408
Phone (313) 740-5377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630101707 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1386127306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 S 11TH ST",
"city": "NILES",
"state": "MI",
"postal_code": "491203408",
"telephone_number": "313-740-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 S 11TH ST",
"city": "NILES",
"state": "MI",
"postal_code": "491203408",
"telephone_number": "269-684-7741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "DAREN",
"middle_name": "DENZEL",
"credential": "MA, TLLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "630101707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.