Active NPI
Looking Glass
- Mental Illness Community Based Residential Treatment Facility
- Eugene, OR
National Provider Identifier
1124427778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- LOOKING GLASS
- Practice address
- 1790 W 11TH Ave
Eugene, OR 97402-3758 - Phone
- (541) 686-2611
- NPI assigned
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amaelo Ezeonwuka
- Title
- Therapist
- Phone
- (541) 505-5484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
1790 W 11TH Ave
Eugene, OR 97402-3758
Mailing address
1790 W 11TH Ave
Eugene, OR 97402-3758
Phone (541) 686-2611
National Provider Directory
National Provider DirectoryLocations
1790 W 11th Ave
Eugene, OR 97402
Phone (541) 686-2611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1124427778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 W 11TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023758",
"telephone_number": "541-686-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 W 11TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974023758",
"telephone_number": "541-686-2611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOOKING GLASS",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "EZEONWUKA",
"authorized_official_first_name": "AMAELO",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "541-505-5484",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
- Nasya Longmire
- Robin Guiles Longnight, LCSW
- Kim Longo, QMHP
- Zayra Nayel Longoria, M.S., PH.D., Q.M.H.P
- Brian Timonthy Longworth
- Looking Glass Community Services
- Looking Glass Community Services
- Looking Glass Community Services - Pathways Boys
- Looking Glass Intensive Treatment Services
- Looking Glass Youth & Family Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.