Active NPI
Kreative Milestones Behavioral Healthcare Services, LLC
- Community/Behavioral Health Agency
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KREATIVE MILESTONES BEHAVIORAL HEALTHCARE SERVICES, LLC
- Practice address
- 712 Mobjack Place
Suite a
Newport News, VA 23606-1981 - Phone
- (757) 504-2349
- Fax
- (757) 782-2861
- NPI assigned
- Jun 19, 2013
- 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
- Ms. Tina Louise Washington
- Title
- Owner/Ceo
- Phone
- (757) 344-0536
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | VA | Primary | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
712 Mobjack Place
Suite a
Newport News, VA 23606-1981
Mailing address
712 Mobjack Place
Suite a
Newport News, VA 23606-1981
Phone (757) 504-2349
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001508743 | Medicaid | VA | |
| 601260524 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Kreative Milestones Behavioral Healthcare Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Newport News, VA
- NPI 1679337323
Locations
12388 Warwick Blvd
Ste 306
Newport News, VA 23606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Newport News, VA
- NPI 1164999058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1982043345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 MOBJACK PLACE",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061981",
"telephone_number": "757-504-2349",
"fax_number": "757-782-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 MOBJACK PLACE",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061981",
"telephone_number": "757-504-2349",
"fax_number": "757-782-2861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KREATIVE MILESTONES BEHAVIORAL HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-19",
"last_updated": "2025-05-15",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "757-344-0536",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3001508743",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "601260524",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
- 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
- Monika Sophia Krzak, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.