Organization Active NPI

Amazing Milestones Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1932822194
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMAZING MILESTONES BEHAVIORAL HEALTH SERVICES, LLC
Practice address
2081 Smith Pointe Dr
Jacksonville, FL 32218-3050
Phone
(904) 634-8676
NPI assigned
Sep 22, 2022
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Angela N BrownNPI 1003450875
Title
Ceo
Phone
(904) 568-6905

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
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2081 Smith Pointe Dr
Jacksonville, FL 32218-3050

Mailing address

2081 Smith Pointe Dr
Jacksonville, FL 32218-3050
Phone (904) 634-8676

Other identifiers 1

IdentifierTypeStateIssuer
1003450875MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Business Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3955 Riverside Ave
Ste 207
Jacksonville, FL 32205

9957 Moorings Dr
Ste 101
Jacksonville, FL 32257
Phone (800) 585-7150

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1932822194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 SMITH POINTE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183050",
            "telephone_number": "904-634-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 SMITH POINTE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183050",
            "telephone_number": "904-634-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING MILESTONES BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-568-6905"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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": "1003450875",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Business",
            "affiliation": "N",
            "endpointDescription": "HIE exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pesonal",
            "address_1": "Smith Pointe Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.