Kreative Milestones Behavioral Healthcare Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KREATIVE MILESTONES BEHAVIORAL HEALTHCARE SERVICES, LLC

Practice address

712 Mobjack PL Ste a
Newport News, VA 23606-1981

Phone

(757) 344-0536

Fax

(757) 782-2861

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Tina WashingtonNPI 1164999058

Title

Owner

Phone

(757) 344-0536

Specialties & licenses 2

Addresses

Other names 1

• Kreative Milestone Behavioral Healthcare Services Other name

Locations

Practitioners 1

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

• Tina Washington

  • Psychologist
  • Newport News, VA
  • NPI 1164999058
  NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1568224665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MOBJACK PL STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061981",
            "telephone_number": "757-344-0536",
            "fax_number": "757-782-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 MOBJACK PL STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061981",
            "telephone_number": "757-344-0536",
            "fax_number": "757-782-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATIVE MILESTONES BEHAVIORAL HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-344-0536"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kreative Milestone Behavioral Healthcare Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renata Anna Kowal, DC
• Emilia Leigh Kozlowski
• Kerri Krasnow, MS, ATC, CSCS
• Kreative Beginnings Early Developmental Center
• Kreative Milestones Behavioral Healthcare Services LLC
• Kreative Milestones Behavioral Healthcare Services, LLC
• Raju Prasad Krishna, M.D.
• Kroger Limited Partnership I
• Paul Kroner Florit, MD
• Krystal Javier Samuel, LLC

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.