Active NPI
Marley Ruth Hirsch, LPC
- Professional Counselor
- Covington, GA
National Provider Identifier
1922465624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC008777
- Practice address
- 3155 Mill Street
Covington, GA 30014-2542 - Phone
- (678) 712-6520
- Fax
- (678) 712-6521
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC008777 | GA | Primary |
Addresses
Primary practice location
3155 Mill Street
Covington, GA 30014-2542
Mailing address
3155 Mill Street
Covington, GA 30014-2542
Phone (678) 712-6520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC008777 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Psychological Associates, Inc | Past | Accepting new patients |
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.
-
- Clinical Child & Adolescent Psychologist
- Covington, GA
- NPI 1316216880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1922465624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 MILL STREET",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142542",
"telephone_number": "678-712-6520",
"fax_number": "678-712-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 MILL STREET",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142542",
"telephone_number": "678-712-6520",
"fax_number": "678-712-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "MARLEY",
"middle_name": "RUTH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.