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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIO DWAYNE HAINESWORTH SR.
NPI 1306458245
Counselor - Professional in Warren, OH

Active since August 21, 2020PECOS Enrolled
1705 WOODLAND ST NE, WARREN, OH 44483(330) 719-0660 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mario Dwayne Hainesworth Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO DWAYNE HAINESWORTH SR. (NPI 1306458245) is an individual professional provider in Warren, Ohio, licensed in Ohio (E.2607289) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306458245
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARIO DWAYNE HAINESWORTH SR.
Location Address1705 WOODLAND ST NEWarren, OH 44483-5348
Mailing Address1705 Woodland St NeWarren, OH 44483-5348 · (330) 469-6777
Phone(330) 719-0660
Sole ProprietorYes
Enumeration DateAugust 21, 2020
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1306458245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2607289
1705 WOODLAND ST NE, Warren, OH 44483
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Dwayne Hainesworth Sr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGIS JOHN SHUTTIC JR.
Peer Specialist
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777
CHARLES EDWARD MARIN LPCC
Counselor (Professional)
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777
JASE LIEBHART
Counselor (Addiction (Substance Use Disorder))
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777
MADELINE LAPOLLA
Counselor (Mental Health)
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777
SCOTT ENTZI M.ED.
Behavior Technician
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777
ZOE COFFEE
Social Worker
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777
MRS. CRYSTAL EVON PANKEY
Social Worker
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777
MEGAN MCBRIDE
Counselor (Addiction (Substance Use Disorder))
1705 WOODLAND ST NE
WARREN, OH 44483
Trumbull County (330) 469-6777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Hainesworth's NPI number?

The NPI number for Mario Hainesworth is 1306458245. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Mario Hainesworth located?

Mario Hainesworth practices at 1705 Woodland St NE, Warren, OH 44483. The listed phone number is (330) 719-0660.

What is Mario Hainesworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mario Hainesworth enrolled in Medicare?

Yes. Mario Hainesworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Hainesworth was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.