Individual provider Active NPI

Aleta Fox, L.C.S.W.

  • Mental Health Counselor
  • Saint Marys, GA
National Provider Identifier
1508297664
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW005728 Issued in GA
Practice address
4499 Highway 40
Ste a
Saint Marys, GA 31558-9402
Phone
(239) 896-3721
Fax
(912) 729-4969
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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 CSW005728 GA Primary

Addresses

Primary practice location

4499 Highway 40
Ste a
Saint Marys, GA 31558-9402

Mailing address

4499 Highway 40
Ste a
Saint Marys, GA 31558-9402
Phone (239) 896-3721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160726003054 GA Practitioner - Clinical Social Worker 1557654787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1508297664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 HIGHWAY 40",
            "address_2": "STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589402",
            "telephone_number": "239-896-3721",
            "fax_number": "912-729-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 HIGHWAY 40",
            "address_2": "STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589402",
            "telephone_number": "239-896-3721",
            "fax_number": "912-729-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ALETA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW005728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.