NPIMap

Organization Active NPI

New Life Mission

  • Community/Behavioral Health Agency
  • Bangor, ME
National Provider Identifier
1851432041
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
392936 Issued in ME
Legal business name
NEW LIFE MISSION
Practice address
202 Exchange St
Bangor, ME 04401-6508
Phone
(207) 941-6434
Fax
(207) 941-9366
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Mrs. Lorna M Lyons
Title
Administrative Supervisor
Phone
(207) 941-6434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 392936 ME Primary

Addresses

Primary practice location

202 Exchange St
Bangor, ME 04401-6508

Mailing address

202 Exchange St
Bangor, ME 04401-6508
Phone (207) 941-6434

Other identifiers 2

IdentifierTypeStateIssuer
121150001MedicaidME
121150100MedicaidME

Other names 1

  • BANGOR COUNSELING CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050613000185 ME Part B Supplier - Clinic/Group Practice 2365486263 Receives reassigned benefits from 1 practitioner
Practice locations: Bangor, ME

National Provider Directory

National Provider Directory

Locations

202 Exchange St
Bangor, ME 04401
Phone (207) 941-6434

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1851432041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EXCHANGE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016508",
            "telephone_number": "207-941-6434",
            "fax_number": "207-941-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 EXCHANGE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016508",
            "telephone_number": "207-941-6434",
            "fax_number": "207-941-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "207-941-6434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "392936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121150001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121150100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BANGOR COUNSELING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.