Organization Active NPI

Withinsight Mind & Body, LLC

  • Community/Behavioral Health Agency
  • Kennewick, WA
National Provider Identifier
1336657089
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LW60781488 Issued in WA
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

Updated by the provider on Jan 16, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.