Individual provider Active NPI

Michael Robert Fox, MPS, ATR-BC, LPC

  • Mental Health Counselor
  • Seltzer, PA
National Provider Identifier
1750650594
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006047 Issued in PA
Practice address
116 Rose Alley
Seltzer, PA 17974
Phone
(570) 449-4088
NPI assigned
Dec 23, 2011
Last updated
Dec 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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 PC006047 PA Primary

Addresses

Primary practice location

116 Rose Alley
Seltzer, PA 17974

Mailing address

116 Rose Aly
PO Box 4035
Seltzer, PA 17901
Phone (570) 449-4088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240927002474 PA Practitioner - Mental Health Counselor 7810428190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Folium IncGroup PAC ID 9234253188, 19 clinicians

Practice addresses (Care Compare)

426 Phoenix Dr
Chambersburg, PA 17201-4537
Phone (717) 261-9833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1750650594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROSE ALY",
            "address_2": "PO BOX 4035",
            "city": "SELTZER",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-449-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ROSE ALLEY",
            "city": "SELTZER",
            "state": "PA",
            "postal_code": "17974",
            "telephone_number": "570-449-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MPS, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seltzer, PA

Sources for this page

Verify at the official NPI Registry.