NPIMap

Organization Active NPI

National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1073091856
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Practice address
1902 W Cermak Rd
Chicago, IL 60608-4204
Phone
(855) 460-6119
Fax
(773) 360-8379
NPI assigned
Aug 2, 2018
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Michelle Yvonne Lizardi, CPC
Title
Medicaid Billing Specialist II
Phone
(614) 227-9430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1902 W Cermak Rd
Chicago, IL 60608-4204

Mailing address

1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Phone (888) 202-2965

Other practice location 1

4747 Lincoln Mall Dr Ste 101
Matteson, IL 60443-3812
Phone (866) 596-6955

National Provider Directory

National Provider Directory
Tax ID family
National Youth Advocate Program Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 2

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": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1073091856",
    "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",
            "telephone_number": "888-202-2965",
            "fax_number": "614-227-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084204",
            "telephone_number": "855-460-6119",
            "fax_number": "773-360-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Lincoln Mall Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Matteson",
            "state": "IL",
            "postal_code": "604433812",
            "country_code": "US",
            "telephone_number": "866-596-6955",
            "fax_number": "708-747-2859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-11-30",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "LIZARDI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "MEDICAID BILLING SPECIALIST II",
        "authorized_official_telephone_number": "614-227-9430",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.