NPIMap

Organization Active NPI

Mirmont Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Lima, PA
National Provider Identifier
1386713642
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
237041 Issued in PA
Legal business name
MIRMONT TREATMENT CENTER
Practice address
100 Yearsley Mill Rd
Lima, PA 19063
Phone
(484) 227-1400
Fax
(484) 227-1406
NPI assigned
Nov 8, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MIRMONT ALCOHOL REHABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Erin Booker
Title
Exec Director
Phone
(484) 227-1410

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 151081 PA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 237078 PA
Substance Abuse Rehabilitation Facility 324500000X 237041 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Psychiatry Physician 2084P0800X
Addiction Psychiatry Physician 2084P0802X
Child & Adolescent Psychiatry Physician 2084P0804X

Addresses

Primary practice location

100 Yearsley Mill Rd
Lima, PA 19063

Mailing address

100 Yearsley Mill Rd
Media, PA 19063-5518
Phone (484) 227-1400

Other practice location 1

825 Springdale Dr
Exton, PA 19341-2843
Phone (484) 565-1133

Other practice location 2

600 Abbott Dr
Broomall, PA 19008-4317
Phone (484) 476-1899

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1021122Mirmont Treatment Center100 Yearsley Mill Road, Media, PA 19063Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory
Part of
Mirmont Treatment Center

Locations

825 Springdale Dr
Exton, PA 19341
Phone (484) 565-1133

100 Yearsley Mill Rd
Media, PA 19063
Phone (484) 227-1400

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1386713642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YEARSLEY MILL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635518",
            "telephone_number": "484-227-1400",
            "fax_number": "484-227-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YEARSLEY MILL RD",
            "city": "LIMA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "484-227-1400",
            "fax_number": "484-227-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412843",
            "country_code": "US",
            "telephone_number": "484-565-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Abbott Dr",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190084317",
            "country_code": "US",
            "telephone_number": "484-476-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRMONT TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRMONT ALCOHOL REHABILITATION CENTER",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "484-227-1410"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "151081",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "237078",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "237041",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.