Individual provider Active NPI

Amy M Fox, LPC, NCC

  • Professional Counselor
  • Fargo, ND
National Provider Identifier
1407187982
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5556106 Issued in ND
Practice address
2624 9TH Ave S
SE Human Service Center
Fargo, ND 58103
Phone
(701) 298-4500
Fax
(701) 298-4400
NPI assigned
Jan 22, 2010
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5556106 ND Primary
Marriage & Family Therapist 106H00000X 2009034 ND
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2624 9TH Ave S
SE Human Service Center
Fargo, ND 58103

Mailing address

2624 9TH Ave S
SE Human Service Center
Fargo, ND 58103
Phone (701) 298-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20240409001025 ND Practitioner - Mental Health Counselor 6507204641 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redeeming Grace Counseling PLLCGroup PAC ID 9739429895, 3 clinicians

Practice addresses (Care Compare)

1351 Page Dr S
Suite 101
Fargo, ND 58103-3502
Phone (701) 353-9979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5556106NDMDProfessional Counselor
2009034NDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Badlands Behavioral Health Clinic CurrentSince Jan 16, 2024 Accepting new patients
South Central Behavioral Health Clinic CurrentSince Jan 6, 2024 Accepting new patients
Northeast Behavioral Health Clinic CurrentSince Jan 6, 2024 Accepting new patients
North Central Behavioral Health Clinic CurrentSince Jan 6, 2024 Accepting new patients
Redeeming Grace Counseling PLLC CurrentSince Apr 18, 2024 Accepting new patients
West Central Behavioral Health Clinic CurrentSince Jan 16, 2024 Accepting new patients
Lake Region Behavioral Health Clinic CurrentSince Jan 6, 2024 Accepting new patients
Northeast Human Service Center CurrentSince Jan 6, 2024 Accepting new patients
Southeast Behavioral Health Clinic CurrentSince Jan 6, 2024 Accepting new patients
Badlands Behavioral Health Clinic Past Accepting new patients

Locations

1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200

1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500

1351 Page Dr S
Ste 101
Fargo, ND 58103
Phone (701) 353-9979

2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500

151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000

520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300

1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500

Organizations & group practices 10

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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1407187982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 9TH AVE S",
            "address_2": "SE HUMAN SERVICE CENTER",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-298-4500",
            "fax_number": "701-298-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 9TH AVE S",
            "address_2": "SE HUMAN SERVICE CENTER",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-298-4500",
            "fax_number": "701-298-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "5556106",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2009034",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.