Individual provider Active NPI

Max Samuel Hirsh, MSW

  • Mental Health Counselor
  • North Wales, PA
National Provider Identifier
1588324362
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1501 Lower State Rd Ste 200
North Wales, PA 19454-1216
Phone
(215) 343-8987
Fax
(215) 343-8983
NPI assigned
Dec 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1501 Lower State Rd Ste 200
North Wales, PA 19454-1216

Mailing address

4162 Terrace St
Philadelphia, PA 19128-5012
Phone (717) 648-7888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhirsh@mhconsultants.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1588324362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4162 TERRACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191285012",
            "telephone_number": "717-648-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD STE 200",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-343-8987",
            "fax_number": "215-343-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSH",
        "first_name": "MAX",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhirsh@mhconsultants.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 Lower State Rd Ste 200",
            "city": "North Wales",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194541216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.