Individual provider Active NPI

Elizabeth Kostura, L.P.C.

  • Professional Counselor
  • Bangor, PA
National Provider Identifier
1629492608
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009524 Issued in PA
Practice address
51 Market Street
Bangor, PA 18013
Phone
(610) 588-9109
NPI assigned
Feb 11, 2014
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009524 PA Primary

Addresses

Primary practice location

51 Market Street
Bangor, PA 18013

Mailing address

51 Market St
Bangor, PA 18013-1901
Phone (610) 588-9101

Other names 1

  • Elizabeth Marie Kostura Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002499 PA Practitioner - Mental Health Counselor 4789034786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Services Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

1708 Washington Blvd
Ste 102
Easton, PA 18042
Phone (610) 252-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1629492608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MARKET ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131901",
            "telephone_number": "610-588-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARKET STREET",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "18013",
            "telephone_number": "610-588-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTURA",
        "first_name": "ELIZABETH",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KOSTURA",
            "middle_name": "MARIE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bangor, PA

Sources for this page

Verify at the official NPI Registry.