NPIMap

Organization Active NPI

Wayne County Office of MH/Mr

  • Community/Behavioral Health Agency
  • Honesdale, PA
National Provider Identifier
1013140870
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WAYNE COUNTY OFFICE OF MH/MR
Practice address
1100 Church Street
Honesdale, PA 18431-1943
Phone
(570) 253-9200
Fax
(570) 647-0268
NPI assigned
Aug 27, 2009
Organization subpart
Yes
Parent organization
COUNTY OF WAYNEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Mrs. Margaret M. Ennis, J.D.
Title
Administrator, Mental Health/Mental
Phone
(570) 253-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1100 Church Street
Honesdale, PA 18431-1943

Mailing address

648 Park Street
Honesdale, PA 18431-1446
Phone (570) 253-9200

Other identifiers 1

IdentifierTypeStateIssuer
001731082MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Wayne County Office of MHMR7 organizations share this tax ID, including this one
Part of
Wayne County Office of MHMR

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

648 Park St
Honesdale, PA 18431

1100 Church St
Honesdale, PA 18431
Phone (570) 253-9200

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1013140870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 PARK STREET",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311446",
            "telephone_number": "570-253-9200",
            "fax_number": "570-647-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CHURCH STREET",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311943",
            "telephone_number": "570-253-9200",
            "fax_number": "570-647-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY OFFICE OF MH/MR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF WAYNE",
        "enumeration_date": "2009-08-27",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR, MENTAL HEALTH/MENTAL",
        "authorized_official_telephone_number": "570-253-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001731082",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.