Thomas Jacob Fox, LMSW, CAADC

Key facts

NPI

1578834867

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

6801089516 (MI)

Practice address

1752 Fay St
Lowell, MI 49331-9666

Phone

(616) 528-0069

NPI assigned

Jan 19, 2012

Sex

Male

Sole proprietor

Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Counseling Services of West Michigan LLC Clinical Social Worker · Lowell, MI · NPI 1962072926
  Medicare reassignment NPD Authorized official CLINICAL · MI
• Advanced Counseling and Therapy Services Clinical Social Worker · Grand Rapids, MI · NPI 1659720548
  NPD (past) CLINICAL

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2021.

{
    "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": []
}

Other providers in Lowell, MI

• 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 Center Network, Inc., Dba, Franciscan Life Process Cen
• Franciscan Life Center Network, Inc., Dba, Franciscan Life Process Cen
• Franciscan Life Network Inc
• Garden Foundation

All providers in Lowell, MI · Clinical Social Worker in Michigan