Active NPI
Laura Jean Gray Fox, LMP
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1780718932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61074767
- Practice address
- 6523 21St Ave NE Apt 3
Seattle, WA 98115-6924 - Phone
- (206) 852-5367
- Fax
- (206) 729-8803
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00021773 | WA | |
| Mental Health Counselor | 101YM0800X | MC61074767 | WA | Primary |
Addresses
Primary practice location
6523 21St Ave NE Apt 3
Seattle, WA 98115-6924
Mailing address
6541 20TH Ave NE
Seattle, WA 98115-6943
Phone (206) 852-5367
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC61074767 | WA | MD | Mental Health Counselor |
| MA00021773 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1780718932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6541 20TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156943",
"telephone_number": "206-852-5367",
"fax_number": "206-729-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6523 21ST AVE NE APT 3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156924",
"telephone_number": "206-852-5367",
"fax_number": "206-729-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "LAURA",
"middle_name": "JEAN GRAY",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00021773",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61074767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.