Mario Dwayne Hainesworth Sr.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2607289 Issued in OH

Practice address

1705 Woodland St NE
Warren, OH 44483-5348

Phone

(330) 719-0660

NPI assigned

Aug 21, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/thrivecounselingwarren/r4/

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Warren, OH
  • NPI 1699246116
  NPD (past)
• Thrive Counseling LLC

  • Community/Behavioral Health Agency
  • Warren, OH
  • NPI 1871082115

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1306458245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WOODLAND ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444835348",
            "telephone_number": "330-469-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WOODLAND ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444835348",
            "telephone_number": "330-719-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINESWORTH",
        "first_name": "MARIO",
        "middle_name": "DWAYNE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2607289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratik Gyawali
• Danielle Mackenzie Haak
• Diana Elaine Hafely, RBT, BCABA
• Ginger Renee Hagen
• Mario Hainesworth
• Roger Hakimian, M.D.
• Robert James Halicky, M.ED., CCRP, CEP
• Carol Hall
• Cheredy Lynn Hall
• Elyse Hall

• Professional Counselor in Warren, OH
• Providers in Warren, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.