Individual provider Active NPI

Valerie Reed Fox, LCSW

  • Mental Health Counselor
  • Suffolk, VA
National Provider Identifier
1780074393
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904001800 Issued in VA
Practice address
6072 Godwin Blvd
Southside Counseling Center
Suffolk, VA 23432-1012
Phone
(757) 255-2555
Fax
(757) 255-7009
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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 0904001800 VA Primary

Addresses

Primary practice location

6072 Godwin Blvd
Southside Counseling Center
Suffolk, VA 23432-1012

Mailing address

6072 Godwin Blvd
Southside Counseling Center
Suffolk, VA 23432-1012
Phone (757) 255-2555

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
0904001800VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Counseling Center, LLC Past 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, 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": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1780074393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 GODWIN BLVD",
            "address_2": "SOUTHSIDE COUNSELING CENTER",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321012",
            "telephone_number": "757-255-2555",
            "fax_number": "757-255-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 GODWIN BLVD",
            "address_2": "SOUTHSIDE COUNSELING CENTER",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234321012",
            "telephone_number": "757-255-2555",
            "fax_number": "757-255-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "VALERIE",
        "middle_name": "REED",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904001800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.