Individual provider Active NPI

Maria Irwin, LPC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1700302403
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007656 Issued in GA
Practice address
132 Stephenson Ave Ste 101
Savannah, GA 31405-5829
Phone
(912) 200-3195
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 LPC007656 GA Primary

Addresses

Primary practice location

132 Stephenson Ave Ste 101
Savannah, GA 31405-5829

Mailing address

132 Stephenson Ave Ste 101
Savannah, GA 31405-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240501003098 GA Practitioner - Mental Health Counselor 9739529264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Tybee Counseling ServicesGroup PAC ID 9133559289, 4 clinicians

Practice addresses (Care Compare)

100 Blue Fin Cir
Suite 4
Savannah, GA 31410-2463
Phone (912) 373-6789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC007656GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tybee Counseling Services CurrentSince Mar 25, 2024 Accepting new patients
Atlantic Counseling Services PastSince Apr 28, 2022 Accepting new patients

Locations

200 Blue Fin Cir
Ste 2
Savannah, GA 31410
Phone (912) 373-6789

100 Blue Fin Cir
Ste 4
Savannah, GA 31410
Phone (912) 373-6789

7505 Waters Ave
Ste E5
Savannah, GA 31406
Phone (912) 373-6789

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1700302403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 STEPHENSON AVE STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 STEPHENSON AVE STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055829",
            "telephone_number": "912-200-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.