Paul Daigle, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

177 Issued in KS

Practice address

710 E 12TH St
Newton, KS 67114-2356

Phone

(316) 283-7829

Fax

(316) 283-7449

NPI assigned

Jun 11, 2014

Last updated

Jun 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Mirror, Inc.

  dba Mirror, Inc.

  • Substance Abuse Rehabilitation Facility
  • Newton, KS
  • NPI 1053431676
  NPD (past)

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1285047803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 5TH ST",
            "address_2": "P.O. BOX 711",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142206",
            "telephone_number": "316-283-6743",
            "fax_number": "316-283-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 12TH ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142356",
            "telephone_number": "316-283-7829",
            "fax_number": "316-283-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "PAUL",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106710 B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig W. Baier, O.D., LLC (Baier Family Optometry)
• Charles C Craig, M.D.
• Kesha Crichlow, M.D.
• Megan Crowe, PHARMD
• Lacey Cruse, LPC
• Joshua A Dalton, ATC
• Vicki Lynn Daniel, PT
• Maeline B. Dapson, RN
• Bo Davidson, DDS
• Terry L. Davidson, D.D.S.

• Addiction (Substance Use Disorder) Counselor in Newton, KS
• Providers in Newton, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.