Individual provider Active NPI

Mindra Fox, LGSW

  • Mental Health Counselor
  • Bloomington, MN
National Provider Identifier
1669351631
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
28845 Issued in MN
Practice address
1000 E 80TH St
Bloomington, MN 55420-1424
Phone
(651) 431-8991
Fax
(952) 884-2135
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 28845 MN Primary

Addresses

Primary practice location

1000 E 80TH St
Bloomington, MN 55420-1424

Mailing address

1000 E 80TH St
Bloomington, MN 55420-1424
Phone (612) 524-8879

Other practice location 1

2249 E 38th St
Minneapolis, MN 55407-3083
Phone (612) 524-8879

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

State licenses

LicenseStateTypeSpecialty
28845MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Advocacy Service PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1669351631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201424",
            "telephone_number": "612-524-8879",
            "fax_number": "952-884-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201424",
            "telephone_number": "651-431-8991",
            "fax_number": "952-884-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2249 E 38th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073083",
            "country_code": "US",
            "telephone_number": "612-524-8879",
            "fax_number": "951-884-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "MINDRA",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "28845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.