NPIMap

Organization Active NPI

Methodist Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, PA
National Provider Identifier
1457386328
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
METHODIST SERVICES
Doing business as
Methodist Services
Practice address
51 Market St
Bangor, PA 18013-1901
Phone
(610) 588-9109
Fax
(610) 588-5016
NPI assigned
Jul 11, 2006
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Anita Howard
Title
Administrator of Grants and Contrac
Phone
(215) 877-1925

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

51 Market St
Bangor, PA 18013-1901

Mailing address

4300 Monument Rd
Philadelphia, PA 19131-1616
Phone (215) 877-1925

Other identifiers 1

IdentifierTypeStateIssuer
1019507060006MedicaidPA

Other names 1

  • Methodist Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151022001074 PA Part B Supplier - Clinic/Group Practice 5193034718 Receives reassigned benefits from 11 practitioners
Practice locations: Easton, PA; Bangor, PA

National Provider Directory

National Provider Directory

Locations

51 Market St
Bangor, PA 18013
Phone (610) 588-9109

684 American Bangor Rd
Bangor, PA 18013
Phone (610) 588-9109

1555 Northampton St
Easton, PA 18042
Phone (610) 252-2000

4300 Monument Rd
Philadelphia, PA 19131
Phone (215) 877-1925

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1457386328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MONUMENT RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311616",
            "telephone_number": "215-877-1925",
            "fax_number": "215-877-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARKET ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131901",
            "telephone_number": "610-588-9109",
            "fax_number": "610-588-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR OF GRANTS AND CONTRAC",
        "authorized_official_telephone_number": "215-877-1925"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019507060006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Methodist Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.