Thomas Jacob Fox, LMSW, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089516 Issued in MI

Practice address

1752 Fay St
Lowell, MI 49331-9666

Phone

(616) 528-0069

NPI assigned

Jan 19, 2012

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Counseling Services of West Michigan LLC

  • Clinical Social Worker
  • Lowell, MI
  • NPI 1962072926
  Medicare reassignment NPD Authorized official
• Advanced Counseling and Therapy Services

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1659720548
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1578834867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 FAY ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319666",
            "telephone_number": "616-528-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 FAY ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319666",
            "telephone_number": "616-528-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "THOMAS",
        "middle_name": "JACOB",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-19",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Finding Balance Counseling Center, LLC
• Urminda Sue Firlan, PHD, DLLP
• Kayla Muxlow Fisher, DMD
• Fountain View of Lowell
• Fox Counseling Services of West Michigan LLC
• Franciscan Life Center Network Incorporated (Franciscan Life Process Center)
• Franciscan Life Center Network, Inc., Dba, Franciscan Life Process Cen (Franciscan Life Process Center)
• Franciscan Life Center Network, Inc., Dba, Franciscan Life Process Cen
• Franciscan Life Network Inc (Franciscan Life Process Center)
• Garden Foundation

• Clinical Social Worker in Lowell, MI
• Providers in Lowell, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.