Organization Active NPI

Max McIntosh

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1609771732
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAX MCINTOSH
Practice address
1635 Azure LN Unit 204
Winston Salem, NC 27127-3245
Phone
(336) 406-9861
Fax
(980) 598-1523
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Max Marie McIntosh, LCMHC-SNPI 1972547941
Title
Owner
Phone
(336) 406-9861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1635 Azure LN Unit 204
Winston Salem, NC 27127-3245

Mailing address

1635 Azure LN Unit 204
Winston Salem, NC 27127-3245
Phone (336) 406-9861

Other practice location 1

250 Executive Park Blvd Ste 120
Winston Salem, NC 27103-1534
Phone (336) 406-9861

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1609771732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 AZURE LN UNIT 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273245",
            "telephone_number": "336-406-9861",
            "fax_number": "980-598-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AZURE LN UNIT 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273245",
            "telephone_number": "336-406-9861",
            "fax_number": "980-598-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Executive Park Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031534",
            "country_code": "US",
            "telephone_number": "336-406-9861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAX MCINTOSH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-406-9861",
        "authorized_official_credential": "LCMHC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.