Active NPI
Central Penn Mental Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Elizabethtown, PA
National Provider Identifier
1619873429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CENTRAL PENN MENTAL HEALTH LLC
- Practice address
- 48 S Market St Ste 112
Elizabethtown, PA 17022-2330 - Phone
- (717) 297-1167
- Fax
- (717) 313-1617
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Jo Hanley, PMHNP-BC
- Title
- CRNP
- Phone
- (717) 903-4473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
48 S Market St Ste 112
Elizabethtown, PA 17022-2330
Mailing address
28 W Walnut St
Marietta, PA 17547-1319
Phone (717) 903-4473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1619873429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 W WALNUT ST",
"city": "MARIETTA",
"state": "PA",
"postal_code": "175471319",
"telephone_number": "717-903-4473",
"fax_number": "717-313-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 S MARKET ST STE 112",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222330",
"telephone_number": "717-297-1167",
"fax_number": "717-313-1617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PENN MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-18",
"status": "A",
"authorized_official_last_name": "HANLEY",
"authorized_official_first_name": "MARY JO",
"authorized_official_title_or_position": "CRNP",
"authorized_official_telephone_number": "717-903-4473",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.