NPIMap

Organization Active NPI

Momentum Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chambersburg, PA
National Provider Identifier
1831250364
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
327460 Issued in PA
Legal business name
MOMENTUM SERVICES, LLC
Practice address
50 Parkwood Dr
Chambersburg, PA 17201-4501
Phone
(717) 262-2183
Fax
(717) 262-2486
NPI assigned
Dec 12, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mr. Justin R. Goshorn
Title
Partner
Phone
(717) 262-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 327460 PA Primary

Addresses

Primary practice location

50 Parkwood Dr
Chambersburg, PA 17201-4501

Mailing address

50 Parkwood Dr
Chambersburg, PA 17201-4501
Phone (717) 262-2183

Other identifiers 1

IdentifierTypeStateIssuer
1017551490003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000795 PA Part B Supplier - Clinic/Group Practice 2961502547 Receives reassigned benefits from 10 practitioners
Practice locations: Chambersburg, PA

National Provider Directory

National Provider Directory
Tax ID family
Momentum Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

144 S 8th St
Ste 108
Chambersburg, PA 17201
Phone (717) 262-2183

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1831250364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PARKWOOD DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014501",
            "telephone_number": "717-262-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARKWOOD DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014501",
            "telephone_number": "717-262-2183",
            "fax_number": "717-262-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GOSHORN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-262-2183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "327460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017551490003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.