Maxwell St. John, LPC
Individual provider Active NPI Professional Counselor · Hamilton, NJ
NPI 1457084345 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1457084345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC014669 (PA)
- Practice address
- 2312 Whitehorse Mercerville Rd Ste 205
Hamilton, NJ 08619-1953 - Phone
- (215) 617-0861
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014669 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Mental Health | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC014669 | PA | Yes |
Addresses
Primary practice location
2312 Whitehorse Mercerville Rd Ste 205
Hamilton, NJ 08619-1953
Mailing address
550 W Queen LN
Philadelphia, PA 19144-4052
Phone (180) 557-0157
Other providers in Hamilton, NJ
- Spine & Sports Medicine of Hamilton LLC
- Larissa Rose Spishock
- William Joseph Sproule
- Ssah RX Inc
- Francis St. John Jr.
- Stabile Medical Associates LLC
- John Stabile
- Michael C Stabile
- Aidan Stallworth
- Sharon Shobha Stanley
All providers in Hamilton, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.