KENNERLY FOX
NPI 1962258707
Counselor - Mental Health in Marietta, GA

NPI Status: Active since April 24, 2024

Contact Information

1650 COUNTY SERVICES PKWY SW
MARIETTA, GA
ZIP 30008
Phone: (404) 823-3308

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  • Individual
  • Female
  • Years of Experience 6
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KENNERLY FOX

This page provides the complete NPI Profile along with additional information for Kennerly Fox, a provider established in Marietta, Georgia with a medical specialization in Counselor, focusing in mental health and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1962258707 assigned on April 2024. The practitioner's primary taxonomy code is 101YM0800X with license number LPC014635 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1962258707
Provider Name
KENNERLY FOX
Gender
Female
Entity Type
Individual
Location Address
1650 COUNTY SERVICES PKWY SW MARIETTA, GA 30008
Location Phone
(404) 823-3308
Mailing Address
1650 COUNTY SERVICES PKWY SW MARIETTA, GA 30008
Mailing Phone
(404) 823-3308
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
04-24-2024
Last Update Date
04-24-2024
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A mental health counselor like Kennerly Fox provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LPC014635
License State
GA

Medicare Participation & PECOS Enrollment Status

Kennerly Fox is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kennerly Fox is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 244778769

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240815001805

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for KENNERLY FOX

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962258707
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122451670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 4 + 5 + 1 + 6 + 7 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1962258707 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518962414 OFELIA S MANDOCK M.D.
Individual
Pediatrics1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2361
1518963511MRS. ALPHA FOWLER BRYAN M.D.
Individual
Family Medicine1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2361
1649263948DR. TOYA DOTSON GREENE D.D.S.
Individual
Dentist (Dental Public Health)1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2372
1437127594MRS. ANNA R BERNHARD RNP
Individual
Nurse Practitioner (Women's Health)1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2361
1407825219MRS. PATRICIA G DUCKWORTH APRN
Individual
Nurse Practitioner (Women's Health)1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2361
1265401616MR. HERBERT H SHARPE NP
Individual
Nurse Practitioner (Women's Health)1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2361
1144299595MRS. LINDA S DAVIS NP
Individual
Nurse Practitioner (Women's Health)1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2361
1558431064MS. SHUNDALE T NEVELS
Individual
Dietitian, Registered1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1417027913MS. ALICE B JACOB RD, LD
Individual
Dietitian, Registered1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1699845107MS. TANYA P STERLING RD, LD
Individual
Dietitian, Registered1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1548330012MRS. BEVERLY A DEMETRIUS ED.D, RD, LD
Individual
Dietitian, Registered1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1518037092MS. SHARON L MCLEOD RD, LD
Individual
Dietitian, Registered1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1477623965MS. NESBITT M TOMBERLIN RD, LD
Individual
Dietitian, Registered1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1821168329MRS. SHENICA D KING RD, LD
Individual
Dietitian, Registered1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1740355999MS. CHARLOTTE LAVONIA INGRAM APRN-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2422
1093924367 FRANCES BARRETT M.S.W.
Individual
Social Worker1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2422
1568664258 JOHN DANIEL KENNEDY M.D.
Individual
Surgery1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2300
1780866384DR. JANICE M CARSON M.D.
Individual
Anesthesiology1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2330
1669627329PRESTIGIOUS MEDICAL CENTER, INC
Organization
Family Medicine1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(404) 207-6139
1871647149 ANA MARIA PEREZ MD
Individual
Psychiatry & Neurology (Psychiatry)1650 COUNTY SERVICES PKWY SW
MARIETTA, GA 30008
(770) 514-2422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962258707, enumerated in the NPI registry as an "individual" on April 24, 2024

The provider is located at 1650 County Services Pkwy Sw Marietta, Ga 30008 and the phone number is (404) 823-3308

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on April 24, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.