Provider Demographics
NPI:1619636255
Name:FOX COUNSELING PLLC
Entity Type:Organization
Organization Name:FOX COUNSELING PLLC
Other - Org Name:FOX PSYCHOLOGICAL ASSESSMENTS OF DENVER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:S J
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-378-8024
Mailing Address - Street 1:1776 S JACKSON ST STE 507
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3851
Mailing Address - Country:US
Mailing Address - Phone:303-378-8024
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 507
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3851
Practice Address - Country:US
Practice Address - Phone:303-378-8024
Practice Address - Fax:360-935-5179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000156673Medicaid