Active NPI
Amazing Milestones Behavioral Health Services, LLC
- Community/Behavioral Health Agency
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2023
- 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
- Angela N Brown
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003450875 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Business | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1003450875
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.