Active NPI
National Youth Advocate Program, Inc
- Community/Behavioral Health Agency
- Tucker, GA
National Provider Identifier
1063322139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NATIONAL YOUTH ADVOCATE PROGRAM, INC
- Practice address
- 100 Crescent Center Pkwy Ste 680
Tucker, GA 30084-7061 - Phone
- (404) 761-7997
- NPI assigned
- Sep 10, 2026
- 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
- Kevin L Cluts
- Title
- System Analyst
- Phone
- (614) 487-8758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
100 Crescent Center Pkwy Ste 680
Tucker, GA 30084-7061
Mailing address
1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Other practice location 1
360 Furys Ferry Rd
Augusta, GA 30907-3045
Phone (706) 724-4387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1063322139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WATERMARK DR STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CRESCENT CENTER PKWY STE 680",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847061",
"telephone_number": "404-761-7997"
}
],
"practiceLocations": [
{
"address_1": "360 Furys Ferry Rd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309073045",
"country_code": "US",
"telephone_number": "706-724-4387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "CLUTS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SYSTEM ANALYST",
"authorized_official_telephone_number": "614-487-8758"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.