Individual provider Active NPI

Diane S Hirsh, LCPC

  • Professional Counselor
  • Arnold, MD
National Provider Identifier
1265748453
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1969 Issued in MD
Practice address
1517 Ritchie Hwy
Ywca
Arnold, MD 21012-2461
Phone
(410) 626-7800
Fax
(410) 626-7312
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC1969 MD
Pastoral Counselor 101YP1600X MD
Professional Counselor 101YP2500X LC1969 MD Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1517 Ritchie Hwy
Ywca
Arnold, MD 21012-2461

Mailing address

1517 Ritchie Hwy
Ywca
Arnold, MD 21012-2461
Phone (410) 626-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424002813 MD Practitioner - Mental Health Counselor 6406372259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chester River Behavioral Health, LLCGroup PAC ID 2860469418, 7 clinicians

Practice addresses (Care Compare)

952 Washington Ave
Chestertown, MD 21620-3322
Phone 410778555016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1969MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Behavioral Health, LLC Professional CurrentSince Apr 1, 2025 Accepting new patients
Ywca of Annapolis & Anne Arundel County Counselor Past Accepting new patients

Locations

952 Washington Ave
Chestertown, MD 21620
Phone (410) 778-0003

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1265748453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 RITCHIE HWY",
            "address_2": "YWCA",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122461",
            "telephone_number": "410-626-7800",
            "fax_number": "410-626-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 RITCHIE HWY",
            "address_2": "YWCA",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122461",
            "telephone_number": "410-626-7800",
            "fax_number": "410-626-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSH",
        "first_name": "DIANE",
        "middle_name": "S",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC1969",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1969",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.