Organization Active NPI

Youth Service Bureau

  • Counselor
  • Evansville, IN
National Provider Identifier
1144542127
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
39002097A Issued in IN
Legal business name
YOUTH SERVICE BUREAU
Practice address
734 W Delaware St
Suite 206
Evansville, IN 47710-1667
Phone
(812) 423-5816
Fax
(812) 423-5294
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Mr. Timothy B. Tharp, M.S., LCPC
Title
Director
Phone
(812) 423-5816

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 39002097A IN Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 39002097A IN

Addresses

Primary practice location

734 W Delaware St
Suite 206
Evansville, IN 47710-1667

Mailing address

734 W Delaware St
Suite 206
Evansville, IN 47710-1667
Phone (812) 423-5816

National Provider Directory

National Provider Directory

Locations

734 W Delaware St
Ste 206
Evansville, IN 47710
Phone (812) 423-5816

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1144542127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 W DELAWARE ST",
            "address_2": "SUITE 206",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101667",
            "telephone_number": "812-423-5816",
            "fax_number": "812-423-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 W DELAWARE ST",
            "address_2": "SUITE 206",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101667",
            "telephone_number": "812-423-5816",
            "fax_number": "812-423-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICE BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "THARP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-423-5816",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IN",
            "license": "39002097A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002097A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.