JONATHAN FOX MS
NPI 1013187921
Counselor - Professional in Happy Valley, OR
NPI Status: Active since March 06, 2008
Contact Information
11211 SE 82ND AVE
SUITE O
HAPPY VALLEY, OR
ZIP 97086
Phone: (503) 722-6200
Fax: (503) 722-6545
- Individual
- Male
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About JONATHAN FOX
This page provides the complete NPI Profile along with additional information for Jonathan Fox, a provider established in Happy Valley, Oregon with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1013187921 assigned on March 2008. The practitioner's primary taxonomy code is 101YP2500X with license number C4442 (OR). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1013187921
- Provider Name
- JONATHAN FOX MS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11211 SE 82ND AVE SUITE O HAPPY VALLEY, OR 97086
- Location Phone
- (503) 722-6200
- Location Fax
- (503) 722-6545
- Mailing Address
- 11211 SE 82ND AVE SUITE O HAPPY VALLEY, OR 97086
- Mailing Phone
- (503) 722-6200
- Mailing Fax
- (503) 722-6545
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-06-2008
- Last Update Date
- 10-30-2017
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jonathan Fox opted out of Medicare effective on 01-31-2024 until 01-31-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C4442
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6500 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-31-2024
Opt-Out End Date: 01-31-2028
Eligible to Order and Refer? No
Reviews for JONATHAN FOX MS
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013187921, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97086
HAPPY VALLEY, OR 97086
HAPPY VALLEY, OR 97086
HAPPY VALLEY, OR 97086
HAPPY VALLEY, OR 97086
HAPPY VALLEY, OR 97086
HAPPY VALLEY, OR 97086
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013187921, enumerated as an "individual" on March 06, 2008.
The provider is located at 11211 SE 82ND AVE SUITE O HAPPY VALLEY, OR 97086 and the phone number is (503) 722-6200.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: PacificSource Health Plans and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
