LOOKING GLASS COMMUNITY SERVICES NPI 1538180716

NPI Information

NPI: 1538180716
Provider Name: LOOKING GLASS COMMUNITY SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
260 E 11TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 484-4428
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LOOKING GLASS COMMUNITY SERVICES is a mental health counselor in Eugene, OR. LOOKING GLASS COMMUNITY SERVICES NPI is 1538180716. The provider is registered as an organization entity type.

The provider's business location address is:

260 E 11TH AVE
EUGENE, OR
ZIP 97401-247
Phone: (541) 484-4428
Fax: (541) 484-7212

The provider's authorized official is Marie Jackson .
The authorized official title is Director Of Finance and has the following contact phone number (541) 686-2688.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 9/30/2016.

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	Primary
1	323P00000X	Psychiatric Residential Treatment Facility		No
2	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
3	251V00000X	Voluntary or Charitable		No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
5	101Y00000X	Counselor		No
6	101YM0800X	Counselor	Mental Health	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
1	182421	MEDICAID	OREGON
2	219972	MEDICAID	OREGON
3	183681	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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