National Youth Advocate Program

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NATIONAL YOUTH ADVOCATE PROGRAM

Practice address

4701 N Keystone Ave Ste 150
Indianapolis, IN 46205-1562

Phone

(800) 471-4795

Fax

(317) 475-0081

NPI assigned

Dec 22, 2011

Last updated

Mar 5, 2019By 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

Marvena Twigg

Title

President/Ceo

Phone

(888) 202-2965

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

National Youth Advocate Program Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsburg, IN
  • NPI 1134498934
  NPD tax ID
• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Merrillville, IN
  • NPI 1528337318
  NPD tax ID
• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, IN
  • NPI 1538595004
  NPD tax ID
• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, IN
  • NPI 1649516527
  NPD tax ID
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Bend, IN
  • NPI 1003374422
  NPD tax ID
• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Lafayette, IN
  • NPI 1235800616
  NPD tax ID
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, IN
  • NPI 1447974829
  NPD tax ID
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1487112751
  NPD tax ID
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Versailles, IN
  • NPI 1720546146
  NPD tax ID

Locations

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1235408022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WATERMARK DR",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157088",
            "telephone_number": "888-202-2965",
            "fax_number": "614-487-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N KEYSTONE AVE STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051562",
            "telephone_number": "800-471-4795",
            "fax_number": "317-475-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "TWIGG",
        "authorized_official_first_name": "MARVENA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "888-202-2965"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201052480 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Indianapolis, IN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.