Active NPI
Withinsight Mind & Body, LLC
- Community/Behavioral Health Agency
- Kennewick, WA
National Provider Identifier
1336657089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LW60781488
- Legal business name
- WITHINSIGHT MIND & BODY, LLC
- Practice address
- 3902 W Clearwater Ave Ste 106
Kennewick, WA 99336-2676 - Phone
- (509) 948-8373
- NPI assigned
- Jan 16, 2018
- 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
- Kelly Kreutz, LICSW
- Title
- Owner / Therapist
- Phone
- (509) 948-8373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LW60781488 | WA | Primary |
Addresses
Primary practice location
3902 W Clearwater Ave Ste 106
Kennewick, WA 99336-2676
Mailing address
PO Box 532
Burbank, WA 99323-0532
Phone (509) 948-8373
National Provider Directory
National Provider DirectoryLocations
3902 W Clearwater Ave
Ste 106
Kennewick, WA 99336
Phone (509) 948-8373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516060800000",
"number": "1336657089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 532",
"city": "BURBANK",
"state": "WA",
"postal_code": "993230532",
"telephone_number": "509-948-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 W CLEARWATER AVE STE 106",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362676",
"telephone_number": "509-948-8373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WITHINSIGHT MIND & BODY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-16",
"status": "A",
"authorized_official_last_name": "KREUTZ",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER / THERAPIST",
"authorized_official_telephone_number": "509-948-8373",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "LW60781488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.