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THOMAS JACOB FOX LMSW, CAADC
NPI 1578834867
Social Worker - Clinical in Lowell, MI

Active since January 19, 2012PECOS Enrolled

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas Jacob Fox Lmsw, Caadc NPPES

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

THOMAS JACOB FOX LMSW, CAADC (NPI 1578834867) is an individual clinical provider in Lowell, Michigan, licensed in Michigan (6801089516) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1578834867
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHOMAS JACOB FOXCredential: LMSW, CAADC
Location Address1752 FAY STLowell, MI 49331-9666
Mailing Address1752 Fay StLowell, MI 49331-9666 · (616) 528-0069
Phone(616) 528-0069
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 19, 2012
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1578834867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801089516
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1752 FAY ST, Lowell, MI 49331
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Jacob Fox Lmsw, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022265214
PECOS Enrollment IDI20120822000763
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Counseling Services Of West Michigan LLC
Same address
Clinical
1752 FAY ST
Lowell, MI 49331
  • Reassigned Medicare billing, Michigan enrollment
NPI 1962072926 (616) 528-0059

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

FOX COUNSELING SERVICES OF WEST MICHIGAN LLC
Social Worker (Clinical)
1752 FAY ST
LOWELL, MI 49331
Kent County (616) 528-0059

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 Thomas Fox's NPI number?

The NPI number for Thomas Fox is 1578834867. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Thomas Fox located?

Thomas Fox practices at 1752 Fay St, Lowell, MI 49331. The listed phone number is (616) 528-0069.

What is Thomas Fox's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Thomas Fox enrolled in Medicare?

Yes. Thomas Fox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Fox reassigns Medicare benefits to Fox Counseling Services Of West Michigan LLC (Lowell, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Fox accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Thomas Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Fox was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.