Organization Active NPI

Mental Health Association of Okaloosa & Walton Counties, Inc.

  • Voluntary or Charitable Agency
  • Fort Walton Beach, FL
National Provider Identifier
1396876157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
MENTAL HEALTH ASSOCIATION OF OKALOOSA & WALTON COUNTIES, INC.
Practice address
571 Mooney Rd NE
Fort Walton Beach, FL 32547-1859
Phone
(850) 244-1040
Fax
(850) 244-2573
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Virginia Glynn Barr, ACSW
Title
Executive Director
Phone
(850) 244-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

571 Mooney Rd NE
Fort Walton Beach, FL 32547-1859

Mailing address

571 Mooney Rd NE
Fort Walton Beach, FL 32547-1859
Phone (850) 244-1040

National Provider Directory

National Provider Directory

Locations

571 Mooney Rd NE
Fort Walton Beach, FL 32547
Phone (850) 244-1040

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396876157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 MOONEY RD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471859",
            "telephone_number": "850-244-1040",
            "fax_number": "850-244-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 MOONEY RD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471859",
            "telephone_number": "850-244-1040",
            "fax_number": "850-244-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF OKALOOSA & WALTON COUNTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "GLYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-244-1040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.