Organization Active NPI

Miles Family Therapeutics LLC

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1003671892
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MILES FAMILY THERAPEUTICS LLC
Practice address
811 Juniper Cres Ste 2
Chesapeake, VA 23320-2633
Phone
(757) 904-1866
Fax
(757) 904-1738
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Mr. Vincent Miles Jr.NPI 1265273197
Title
Ceo
Phone
(757) 770-6360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

811 Juniper Cres Ste 2
Chesapeake, VA 23320-2633

Mailing address

PO Box 2681
Chesapeake, VA 23327-2681
Phone (757) 904-1866

National Provider Directory

National Provider Directory

Locations

811 Juniper Cres
Ste 2
Chesapeake, VA 23320
Phone (757) 657-5320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1003671892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2681",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233272681",
            "telephone_number": "757-904-1866",
            "fax_number": "757-904-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 JUNIPER CRES STE 2",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202633",
            "telephone_number": "757-904-1866",
            "fax_number": "757-904-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES FAMILY THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-770-6360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.