Individual provider Active NPI

Susan Kay Fox, M.S.,L.P.C.

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1700861416
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8556 Issued in TX
Practice address
4215 SW 21St Ave Ste D
Amarillo, TX 79106-6011
Phone
(806) 355-9925
Fax
(806) 353-7466
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 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 8556 TX Primary

Addresses

Primary practice location

4215 SW 21St Ave Ste D
Amarillo, TX 79106-6011

Mailing address

4215 SW 21St Ave Ste D
Amarillo, TX 79106-6011
Phone (806) 355-9925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251111003177 TX Practitioner - Mental Health Counselor 8022509603 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Texas a & M University System, HSC, College of Medicine, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4215 SW 21St Ave
Suite D
Amarillo, TX 79106-6011
Phone (806) 341-6990

7825 Bent Tree Dr
Amarillo, TX 79121-1929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8556TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1700861416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 SW 21ST AVE STE D",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066011",
            "telephone_number": "806-355-9925",
            "fax_number": "806-353-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SW 21ST AVE STE D",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066011",
            "telephone_number": "806-355-9925",
            "fax_number": "806-353-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "M.S.,L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "8556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.