Fox Counseling Services of West Michigan LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FOX COUNSELING SERVICES OF WEST MICHIGAN LLC

Practice address

1752 Fay St
Lowell, MI 49331-9666

Phone

(616) 528-0059

NPI assigned

Jun 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Jacob Fox, LMSW, CAADCNPI 1578834867

Title

Owner/Sole Propritor

Phone

(616) 528-0059

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Jacob Fox, LMSW, CAADC

  • Clinical Social Worker
  • Lowell, MI
  • NPI 1578834867

  Clinical, MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1962072926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 FAY ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319666",
            "telephone_number": "616-528-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 FAY ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319666",
            "telephone_number": "616-528-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX COUNSELING SERVICES OF WEST MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRITOR",
        "authorized_official_telephone_number": "616-528-0059",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Fife
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• Urminda Sue Firlan, PHD, DLLP
• Kayla Muxlow Fisher, DMD
• Fountain View of Lowell
• Thomas Jacob Fox, LMSW, CAADC
• Franciscan Life Center Network Incorporated
• Franciscan Life Center Network, Inc., Dba, Franciscan Life Process Cen
• Franciscan Life Center Network, Inc., Dba, Franciscan Life Process Cen
• Franciscan Life Network Inc

• All providers in Lowell, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.