Youth Era

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

YOUTH ERA

Doing business as

Lead

Practice address

44 W Broadway Ste 225
Eugene, OR 97401-3071

Phone

(971) 334-9295

NPI assigned

Mar 5, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Tia Barnes

Title

Chief Program Officer

Phone

(541) 255-6864

Specialties & licenses 1

Addresses

Other names 1

• LEAD Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethsaida Ramos

  • Peer Specialist
  • Portland, OR
  • NPI 1518710755
  NPD (past)
• Ronald Todd Santiago

  • Student in an Organized Health Care Education/Training Program
  • Northglenn, CO
  • NPI 1174094643
  NPD (past)

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1205338365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974400583",
            "telephone_number": "206-295-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W BROADWAY STE 225",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013071",
            "telephone_number": "971-334-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "541-255-6864",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Kellim Young, LP, LCSW
• Shannon R Young, PHARMD
• Winga Theadora Young
• Derek S Youngblood, DMD
• Elizabeth McGee Younger, BA
• Youth Movement Project
• Heekyung Yu
• Isaac Yuan, MD
• Xyloh Yugen, MA, QMHP-C
• Wyatt Yurkovich, M.ED.

• Adolescent and Children Mental Health Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Adolescent and Children Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.