Individual provider Active NPI

Pamela Irene Hirt, IMFT

  • Marriage & Family Therapist
  • Westerville, OH
National Provider Identifier
1760884241
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2300323 Issued in OH
Practice address
623 Park Meadow Rd Ste H
Westerville, OH 43081-2876
Phone
(614) 948-3273
Fax
(855) 740-2025
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1300005 OH
Marriage & Family Therapist 106H00000X M2000137 OH
Marriage & Family Therapist 106H00000X F.2300323 OH Primary

Addresses

Primary practice location

623 Park Meadow Rd Ste H
Westerville, OH 43081-2876

Mailing address

623 Park Meadow Rd Ste H
Westerville, OH 43081-2876
Phone (614) 948-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240228003793 OH Practitioner - Marriage and Family Therapist 8527403633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1300005OHMDMarriage & Family Therapist
F.2300323OHMDMarriage & Family Therapist
M2000137OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Behavioral Health Services, Inc. CurrentSince Jan 31, 2024 Accepting new patients

Locations

495 E Mound St
Ste 110
Columbus, OH 43215
Phone (614) 948-3273

623 Park Meadow Rd
Ste H
Westerville, OH 43081
Phone (614) 774-1120

Organizations & group practices 1

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1760884241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE H",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE H",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRT",
        "first_name": "PAMELA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-05-20",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "1300005",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M2000137",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2300323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.