Youth Service Bureau of St Tammany

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

YOUTH SERVICE BUREAU OF ST TAMMANY

Practice address

430 N New Hampshire St
Covington, LA 70433-2830

Phone

(985) 893-2570

Fax

(985) 893-2758

NPI assigned

Oct 27, 2011

Last updated

Aug 6, 2024By 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

Mr. Cleveland Wester, LCSWNPI 1386075422

Title

President & Ceo

Phone

(985) 893-2570

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Youth Service Bureau Other name

Tax ID family

Youth Service Bureau2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Youth Service Bureau of St Tammany

  • Community/Behavioral Health Agency
  • Covington, LA
  • NPI 1538445176
  NPD tax ID

Locations

Practitioners 9

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.

• Cleveland Wester

  • Social Worker
  • Riviera Beach, FL
  • NPI 1386075422
  NPD Authorized official
• Taylor Zane Loyd, PLPC, NCC

  • Mental Health Counselor
  • Covington, LA
  • NPI 1336966258
  NPD
• Crystal Jones, BA

  • Counselor
  • Covington, LA
  • NPI 1255780235
  NPD (past)
• Emily Madden, PLPC

  • Professional Counselor
  • Covington, LA
  • NPI 1952753535
  NPD (past)
• Lesley McMullen

  • Counselor
  • Slidell, LA
  • NPI 1740639475
  NPD (past)
• Marisa Rose Riley

  • Counselor
  • Slidell, LA
  • NPI 1215743349
  NPD (past)
• Mary Walden, M.ED

  • Counselor
  • Slidell, LA
  • NPI 1417306689
  NPD (past)
• Anna Autin Weilbaecher

  • Mental Health Counselor
  • New Orleans, LA
  • NPI 1053047837
  NPD (past)
• Holley Young, BA

  • Counselor
  • Covington, LA
  • NPI 1972953644
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1245516897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N NEW HAMPSHIRE ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332830",
            "telephone_number": "985-893-2570",
            "fax_number": "985-893-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N NEW HAMPSHIRE ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332830",
            "telephone_number": "985-893-2570",
            "fax_number": "985-893-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704583920",
            "country_code": "US",
            "telephone_number": "985-643-5746",
            "fax_number": "985-643-1769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 Washington St Ste A",
            "address_purpose": "LOCATION",
            "city": "Franklinton",
            "state": "LA",
            "postal_code": "704381718",
            "country_code": "US",
            "telephone_number": "985-839-4090",
            "fax_number": "985-839-4065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Austin St",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273818",
            "country_code": "US",
            "telephone_number": "985-735-1687",
            "fax_number": "985-735-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUTH SERVICE BUREAU OF ST TAMMANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "WESTER",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "985-893-2570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "194A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1434019",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1434001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Service Bureau",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Youth Service Bureau",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holley Young, BA
• Stacey Young, PHARM D
• Crystal Younger
• John Clark Younger
• Philip Roy Younger
• Youth Service Bureau of St Tammany
• Candace Zahn
• Jena Zanco, LCSW
• Carolyn Ann Zara-Morvant
• Judith M Zatarain, MD

• Counselor in Covington, LA
• Providers in Covington, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.