THE MIRROR, INC. (NPI# 1053431676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053431676 |
| Entity Type | Organization |
| Organization Name | THE MIRROR, INC. |
| Other Organization Name | MIRROR, INC. |
| Practice Address |
130 E 5th St Newton KS 67114-2206 |
| Mailing Address |
Po Box 711 Newton KS 67114-0711 |
| Practice Telephone | 3162836743 |
| Practice Fax Number | 3162836830 |
| Mailing Telephone | 3162836743 |
| Mailing Fax Number | 3162836830 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | MS. BEVERLY METCALF (PRESIDENT CEO) |
| Authorized Official Telephone | 3162836743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0093 | KS | Ambulatory Health Care Facilities |
| N | 251S00000X | Community/Behavioral Health | 0093 | KS | Agencies |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 0093 | KS | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS DAY TREATMENT | 001402 | 01 |
| KS | 100106710I | 05 | |
| KS | 100106710M | 05 | |
| KS | 100106710B | 05 | |
| KS | 100106710Q | 05 | |
| KS | 100106710D | 05 | |
| KS | 100106710L | 05 | |
| KS | 100106710F | 05 | |
| KS | 100106710P | 05 | |
| KS | 100106710S | 05 | |
| KS | 100106710T | 05 | |
| KS | 200676050A | 05 | |
| KS | 100106710R | 05 | |
| KS | BCBS OUTPATIENT | 014938 | 01 |
| KS | 100106710C | 05 |
| Other Name | Type Code |
|---|---|
| Mirror, Inc. | Doing Business As Name - Organization |
| Street Address |
130 E 5TH ST |
| City | NEWTON |
| State | KS |
| Zip Code | 67114-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952704587 | Tamara Moler | Counselor | 130 E 5th St, Newton, KS 67114-2206 | 2014-09-26 |
| 1205241940 | Beverly Metcalf | Counselor | 130 E 5th St, Newton, KS 67114-2206 | 2014-06-20 |
| 1124432653 | Julie Hendricks | Counselor | 130 E 5th St, Newton, KS 67114-2206 | 2014-06-12 |
| 1285047332 | Leonna Hosler | Counselor | 130 E 5th St, Newton, KS 67114-2206 | 2014-06-06 |
| 1245643352 | John Gilbert | Counselor | 130 E 5th St, Newton, KS 67114-2206 | 2014-06-05 |
| 1104236074 | Kimberly Brown | Counselor | 130 E 5th St, Newton, KS 67114-2206 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301854 | Kelly Pruitt | Physical Therapist | 111 Summer Drive, Newton, KS 67114 | 2016-04-22 |
| 1538505417 | Fair Chiropractic LLC | Chiropractor | 2305 S. Kansas Ave., Suite 104, Newton, KS 67114 | 2013-05-17 |
| 1922383884 | Anne M Geidel | Pharmacist | 1300 N. Main, Newton, KS 67114 | 2011-10-11 |
| 1831474790 | Mark Thomas Attebery | Pharmacist | 1300 N. Main St., Newton, KS 67114 | 2011-10-11 |
| 1417254228 | Katie Conner Reese | Social Worker | 209 S. Pine Street, Newton, KS 67114 | 2011-02-15 |
| 1306076328 | Tammy Bush | Physical Therapist | 800 Meadowlark Ln, Newton, KS 67114 | 2009-07-24 |
| 1790962223 | Eric Brian Fair | Chiropractor | 2305 S. Kansas Ave, Suite 104, Newton, KS 67114 | 2008-01-28 |
| 1144434960 | Keri Annette Mick | Speech-Language Pathologist | Newton Presbyterian Manor, 7th Street, Newton, KS 67114 | 2007-05-10 |
| 1659425841 | Michele I Janssens | Speech-Language Pathologist | 115 Harrison St, Newton, KS 67114 | 2007-01-23 |
| 1912063751 | Edward A Myers | Chiropractor | 1609 E 9th St, Newton, KS 67114 | 2006-12-28 |
| Find all providers in zip 67114 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
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|---|---|---|---|---|
| 1477974244 | House of Mercy | Substance Abuse Rehabilitation Facility | 511 E 21st St S, Newton, IA 50208-5104 | 2013-12-23 |
| 1679793434 | Center for Prevention & Counseling, Inc | Substance Abuse Rehabilitation Facility | 61 Spring St, 3rd Floor, Newton, NJ 07860-2072 | 2007-04-26 |
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|---|---|---|---|---|
| 1891319034 | Gold Bridge Treatment Center LLC | Substance Abuse Rehabilitation Facility | 105 E Amity St, Louisburg, KS 66053-4076 | 2020-06-03 |
| 1578075925 | Tomorrowslight Recovery Inc | Substance Abuse Rehabilitation Facility | 571 S Holland St, Wichita, KS 67209-2007 | 2017-10-25 |
| 1598275505 | Kisa Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 865 State Highway 99, Sedan, KS 67361-8501 | 2017-10-04 |
| 1801218276 | Serenity Counseling and Wellness Center | Substance Abuse Rehabilitation Facility | 7933 State Ave Ste 203, Kansas City, KS 66112-2468 | 2014-01-20 |
| 1740538982 | Frontline Intervention Solution Today-organization LLC Limited Liabili | Substance Abuse Rehabilitation Facility | 3211 N 38th St, Kansas City, KS 66104-3726 | 2012-08-20 |
| 1942561576 | Preferred Family Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 2720 E 12th Ave, Winfield, KS 67156-4114 | 2012-05-30 |
| 1265684591 | Alcala Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 1243 Sw Topeka Blvd Ste B, Topeka, KS 66612-1907 | 2008-10-17 |
| 1306000724 | Cornerstone Therapy | Substance Abuse Rehabilitation Facility | 122 N Douglas Ave, Ellsworth, KS 67439-3214 | 2008-07-15 |
| 1598961419 | Syracusechemicaladdictiontreatment of Ks | Substance Abuse Rehabilitation Facility | 505 N Johnson, Syracuse, KS 67878-1008 | 2007-06-26 |
| 1164642591 | Simple Choice | Substance Abuse Rehabilitation Facility | 209 West Ave S, Lyons, KS 67554-2711 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.