Organization Active NPI

National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Lafayette, IN
National Provider Identifier
1235800616
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL YOUTH ADVOCATE PROGRAM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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)CodeLicenseStatePrimary
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 Program53 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.