Individual provider Active NPI

Fredricka Carole Fox, MA, LPC, CGRS

  • Professional Counselor
  • Rochester Hills, MI
National Provider Identifier
1548554603
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009314 Issued in MI
Practice address
2710 S Rochester Rd
Ste a
Rochester Hills, MI 48307-4598
Phone
(248) 260-4258
NPI assigned
Jun 7, 2011
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009314 MI Primary

Addresses

Primary practice location

2710 S Rochester Rd
Ste a
Rochester Hills, MI 48307-4598

Mailing address

127 Whippoorwill LN
Rochester Hills, MI 48309-3485
Phone (586) 215-0411

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

LicenseStateTypeSpecialty
6401009314MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1548554603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WHIPPOORWILL LN",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093485",
            "telephone_number": "586-215-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 S ROCHESTER RD",
            "address_2": "STE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074598",
            "telephone_number": "248-260-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "FREDRICKA",
        "middle_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, CGRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.