NPIMap

Organization Active NPI

Bethesda Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
National Provider Identifier
1992392005
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BETHESDA SERVICES LLC
Practice address
2727 S 3Rd St
Ironton, OH 45638-2760
Phone
(740) 534-2100
NPI assigned
Dec 22, 2020
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Mary Ellen Smith, RNNPI 1720620115
Title
Executive Director/Owner
Phone
(814) 512-0105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2727 S 3Rd St
Ironton, OH 45638-2760

Mailing address

2727 S 3Rd St
Ironton, OH 45638
Phone (740) 534-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@bethesdaservicesllc.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251017003367 OH Part B Supplier - Clinic/Group Practice 5799272175 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: South Point, OH; Newark, OH; Ironton, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

113 S 3rd St
Ironton, OH 45638
Phone (740) 237-4702

Practitioners & affiliated clinicians

Practitioners 148

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 148

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1992392005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "45638",
            "telephone_number": "740-534-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382760",
            "telephone_number": "740-534-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "814-512-0105",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@bethesdaservicesllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 S 3rd St",
            "city": "Ironton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456381538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

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