National Youth Advocate Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NATIONAL YOUTH ADVOCATE PROGRAM

Practice address

3535 30TH Ave Ste 205a
Kenosha, WI 53144-1632

Phone

(614) 487-8758

NPI assigned

Oct 28, 2026

Last updated

Oct 28, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Tax ID family

National Youth Advocate Program54 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1174421382",
    "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": "3535 30TH AVE STE 205A",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "614-487-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "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": []
}

• Sushant M Nanavati, M.D.
• Nancy Guadagno LCSW Csac LLC
• Dragos G Nanul, MD
• Monica D Nanul, LPC
• Narayan Baliga, M.D., S.C.
• Norma Nava, RN
• Kishwar Naz, M.D.
• Linda S Neal
• Alisha B Neely, RN
• Mark G Neerhof, DO

• Community/Behavioral Health Agency in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.