NPIMap

Organization Active NPI

Youth Villages

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1154867364
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
P010972 Issued in NC
Legal business name
YOUTH VILLAGES
Practice address
2313 Executive Cir Ste C
Greenville, NC 27834-3744
Phone
(252) 215-5700
Fax
(252) 215-5701
NPI assigned
Jan 11, 2017
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Lauren Walden Anzelone, LCSWANPI 1265973374
Title
Lifeset Specialist
Phone
(252) 320-9744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X P010972 NC Primary

Addresses

Primary practice location

2313 Executive Cir Ste C
Greenville, NC 27834-3744

Mailing address

2313 Executive Cir Ste C
Greenville, NC 27834-3744
Phone (252) 215-5700

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1154867364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 EXECUTIVE CIR STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343744",
            "telephone_number": "252-215-5700",
            "fax_number": "252-215-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 EXECUTIVE CIR STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343744",
            "telephone_number": "252-215-5700",
            "fax_number": "252-215-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VILLAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "ANZELONE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "WALDEN",
        "authorized_official_title_or_position": "LIFESET SPECIALIST",
        "authorized_official_telephone_number": "252-320-9744",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "P010972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.