Henry Hirsch Jr., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC10084 Issued in PA

Practice address

62 Collins Cir
Hanover, PA 17331-3448

Phone

(443) 244-2454

NPI assigned

Dec 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Awakened Mind Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hanover, PA
  • NPI 1417544644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1689211377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 COLLINS CIR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313448",
            "telephone_number": "443-244-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 COLLINS CIR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313448",
            "telephone_number": "443-244-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "HENRY",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC10084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "awakenedmindcc@gmail.com",
            "affiliation": "N",
            "address_1": "62 Collins Cir",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173313448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillside Foot and Ankle Associates LLC
• Hillside Gastroenterology & Nutrtion, Inc
• Hillside Internal Medicine PC
• Hillside Pain Management PC
• Heather L Hillson
• Marc A Hirsh, MD
• Kimberly S. Hissong
• Karen Hitchcock
• Mallory Ann Hoak, OTR/L
• Deborah Hobbs

• Mental Health Counselor in Hanover, PA
• Providers in Hanover, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.