The Milieu Therapeutic Services, ,PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE MILIEU THERAPEUTIC SERVICES, ,PC

Doing business as

TMTS Special Operations

Practice address

1730 George Washington Mem Hwy Ste F-6
Yorktown, VA 23693-4328

Phone

(833) 464-5438

Fax

(757) 578-8226

NPI assigned

Feb 15, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE MILIEU THERAPEUTIC SERVICES, PCAs reported in NPPES

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

Authorized official

Name

Willard A Vaughn, LPCNPI 1760637219

Title

Ceo

Phone

(833) 464-5438

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• TMTS Special Operations Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Milieu Therapeutic Services, PC

  dba tmtsonline.com

  • Mental Health Counselor
  • Hampton, VA
  • NPI 1679068597

  O20230505001798

  Same enrollment

Part of

The Milieu Therapeutic Services PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Milieu Therapeutic Services, PC

  dba tmtsonline.com

  • Mental Health Counselor
  • Hampton, VA
  • NPI 1679068597
  NPPES parent name

Practitioners 1

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.

• Willard Allen Vaughn, LPC

  • Professional Counselor
  • Hampton, VA
  • NPI 1760637219

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1750088274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007C VICTORY BLVD # 118",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935601",
            "telephone_number": "833-464-5438",
            "fax_number": "757-578-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 GEORGE WASHINGTON MEM HWY STE F-6",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934328",
            "telephone_number": "833-464-5438",
            "fax_number": "757-578-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MILIEU THERAPEUTIC SERVICES, ,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MILIEU THERAPEUTIC SERVICES, PC",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-464-5438",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015303970004",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS PROVIDER LICENSE",
            "identifier": "5253-07-006",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMTS Special Operations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TMTS Special Operations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristin Leigh Thompson, MED, ATC, LAT
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• Tidewater Music Therapy
• Elena Xiaoyao Tippett

• Community/Behavioral Health Agency in Yorktown, VA
• Providers in Yorktown, 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 Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.