Organization Active NPI

Youth Positive Impact Coaching

  • Case Management Agency
  • Dallas, TX
National Provider Identifier
1194442434
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YOUTH POSITIVE IMPACT COACHING
Practice address
1023 W Clarendon Dr
Dallas, TX 75208-7004
Phone
(469) 216-7502
NPI assigned
Oct 26, 2022
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Joe YowNPI 1215500319
Title
Chairman of the Board
Phone
(695) 525-0644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1023 W Clarendon Dr
Dallas, TX 75208-7004

Mailing address

104 E Ovilla Rd Unit 1119
Red Oak, TX 75154-9274
Phone (469) 552-5064

Other names 1

  • YPIC Other name

National Provider Directory

National Provider Directory

Locations

1023 W Clarendon Dr
Dallas, TX 75208
Phone (469) 216-7502

104 E Ovilla Rd
Unit 1119
Red Oak, TX 75154

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1194442434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E OVILLA RD UNIT 1119",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751549274",
            "telephone_number": "469-552-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 W CLARENDON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752087004",
            "telephone_number": "469-216-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH POSITIVE IMPACT COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "YOW",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "695-525-0644"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YPIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "YPIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.