Organization Active NPI

Dawn McCoy LLC

  • Community/Behavioral Health Agency
  • Lancaster, OH
National Provider Identifier
1730494477
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I.0008271 Issued in OH
Legal business name
DAWN MCCOY LLC
Practice address
323 S Broad St
Lancaster, OH 43130-4311
Phone
(740) 438-2946
Fax
(740) 652-0000
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Ms. Dawn Louise McCoy, M.S.W., L.I.S.W.NPI 1003947094
Title
Social Worker
Phone
(740) 438-2946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X I.0008271 OH Primary

Addresses

Primary practice location

323 S Broad St
Lancaster, OH 43130-4311

Mailing address

323 S Broad St
P.O. Box 2216
Lancaster, OH 43130-4311
Phone (740) 438-2946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000769 OH Part B Supplier - Clinic/Group Practice 2668506940 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, OH

National Provider Directory

National Provider Directory

Locations

337 E Main St
Lancaster, OH 43130
Phone (740) 407-3213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1730494477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S BROAD ST",
            "address_2": "P.O. BOX 2216",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304311",
            "telephone_number": "740-438-2946",
            "fax_number": "740-652-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S BROAD ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304311",
            "telephone_number": "740-438-2946",
            "fax_number": "740-652-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN MCCOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "740-438-2946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W., L.I.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I.0008271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.