THE MIRROR INC. NPI 1053431676

NPI Information

NPI: 1053431676
Provider Name: THE MIRROR, INC.

Doing Business As: MIRROR, INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
130 E 5TH ST
NEWTON, KS
ZIP 67114
Phone: (316) 283-6743
Get Directions

THE MIRROR, INC. is a substance abuse rehabilitation facility in Newton, KS. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. THE MIRROR, INC. NPI is 1053431676. The provider is registered as an organization entity type.
The provider Is Doing Business As Mirror, Inc..

The provider's business location address is:

130 E 5TH ST
NEWTON, KS
ZIP 67114-206
Phone: (316) 283-6743
Fax: (316) 283-6830

The provider's authorized official is Elizabeth T Meitner .
The authorized official title is Director Of Utilization and has the following contact phone number (316) 400-6863.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 1/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health		0093	KANSAS	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0093	KANSAS	No
3	324500000X	Substance Abuse Rehabilitation Facility		0093	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014938	OTHER	KANSAS	BCBS OUTPATIENT
2	100106710C	MEDICAID	KANSAS
3	100106710D	MEDICAID	KANSAS
4	100106710M	MEDICAID	KANSAS
5	100106710P	MEDICAID	KANSAS
6	100106710I	MEDICAID	KANSAS
7	100106710T	MEDICAID	KANSAS
8	100106710B	MEDICAID	KANSAS
9	200676050A	MEDICAID	KANSAS
10	001402	OTHER	KANSAS	BCBS DAY TREATMENT
11	100106710Q	MEDICAID	KANSAS
12	100106710R	MEDICAID	KANSAS
13	100106710S	MEDICAID	KANSAS
14	100106710F	MEDICAID	KANSAS
15	100106710L	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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