Active NPI
National Youth Advocate Program, Inc
- Community/Behavioral Health Agency
- Lafayette, IN
National Provider Identifier
1235800616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NATIONAL YOUTH ADVOCATE PROGRAM, INC
- Practice address
- 105 Executive Dr Ste C
Lafayette, IN 47905-4869 - Phone
- (614) 438-3400
- NPI assigned
- Sep 24, 2021
- Last updated
- Sep 24, 2021
- Organization subpart
- Yes
- Parent organization
- NATIONAL YOUTH ADVOCATE PROGRAM, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Coyle
- Title
- Credentialing
- Phone
- (937) 241-7089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
105 Executive Dr Ste C
Lafayette, IN 47905-4869
Mailing address
1801 Watermark Dr
Columbus, OH 43215-7088
National Provider Directory
National Provider Directory- Tax ID family
- National Youth Advocate Program
- Part of
- National Youth Advocate Program
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Scottsburg, IN
- NPI 1134498934
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1235408022
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Merrillville, IN
- NPI 1528337318
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anderson, IN
- NPI 1538595004
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, IN
- NPI 1649516527
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Bend, IN
- NPI 1003374422
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, IN
- NPI 1447974829
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
- NPI 1487112751
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Versailles, IN
- NPI 1720546146
Locations
105 Executive Dr
Ste C
Lafayette, IN 47905
Phone (219) 472-8900
1801 Watermark Dr
Columbus, OH 43215
Phone (614) 227-9444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632441600000",
"number": "1235800616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WATERMARK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 EXECUTIVE DR STE C",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054869",
"telephone_number": "614-438-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A",
"authorized_official_last_name": "COYLE",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "937-241-7089"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.