Individual provider Active NPI

Mark Hirsch, M.A. LPC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1497913859
Registry record updated Jun 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004240 Issued in GA
Practice address
310 Mandi Way
Alpharetta, GA 30004-4200
Phone
(678) 360-4962
NPI assigned
Jun 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004240 GA Primary

Addresses

Primary practice location

310 Mandi Way
Alpharetta, GA 30004-4200

Mailing address

310 Mandi Way
Alpharetta, GA 30004-4200
Phone (678) 360-4962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC004240GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1497913859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MANDI WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044200",
            "telephone_number": "678-360-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MANDI WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044200",
            "telephone_number": "678-360-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "M.A.  LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.