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SAMANTHA ANNE FOX LPC
NPI 1245936327
Counselor - Professional in Bolingbrook, IL

Active since February 01, 2023Opted out of Medicare · through Dec 8, 2027
215 REMINGTON BLVD STE G, BOLINGBROOK, IL 60440(630) 410-9578(630) 296-0749 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Anne Fox Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ANNE FOX LPC (NPI 1245936327) is an individual professional provider in Bolingbrook, Illinois, licensed in Illinois (178.018820) and active in the NPI registry since February 2023. She has opted out of Medicare through December 8, 2027.

NPPES Registry Identity

NPI1245936327
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA ANNE FOXCredential: LPC
Location Address215 REMINGTON BLVD STE GBolingbrook, IL 60440-3663
Mailing Address215 Remington Blvd Ste GBolingbrook, IL 60440-3663 · (630) 410-9578 · Fax (630) 296-0749
Phone(630) 410-9578
Fax(630) 296-0749
Sole ProprietorNo
Enumeration DateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1245936327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.018820
215 REMINGTON BLVD STE G, Bolingbrook, IL 60440
Open in Google Maps ↗

Other Identifiers 1

Other178.018820IL · Lpc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samantha Anne Fox Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2025 through December 8, 2027.

Opt-Out Effective DateDecember 8, 2025
Opt-Out In Effect ThroughDecember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKIE RASINSKI LSW
Social Worker
215 REMINGTON BLVD STE G
BOLINGBROOK, IL 60440
Will County (630) 410-9578
MICHAEL BOERST
Social Worker
215 REMINGTON BLVD STE G
BOLINGBROOK, IL 60440
Will County (630) 410-9578
JERRID NEAL LPC
Counselor (Professional)
215 REMINGTON BLVD STE G
BOLINGBROOK, IL 60440
Will County (630) 410-9578
ARIELLE TOVAR LSW
Social Worker
215 REMINGTON BLVD STE G
BOLINGBROOK, IL 60440
Will County (630) 410-9578
CHELSEA BAILEY LAC
Counselor (Professional)
215 REMINGTON BLVD STE G
BOLINGBROOK, IL 60440
Will County (630) 410-9578

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Fox's NPI number?

The NPI number for Samantha Fox is 1245936327. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Samantha Fox located?

Samantha Fox practices at 215 Remington Blvd Ste G, Bolingbrook, IL 60440. The listed phone number is (630) 410-9578.

What is Samantha Fox's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Fox enrolled in Medicare?

No. Samantha Fox has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Fox was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.