Active NPI
Elevate Youth Services Incorporated
- Public Health or Welfare Agency
- Barre, VT
National Provider Identifier
1295554996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- ELEVATE YOUTH SERVICES INCORPORATED
- Practice address
- 652 Granger Rd Ste 2
Barre, VT 05641-5363 - Phone
- (802) 229-9151
- Fax
- (802) 229-2508
- NPI assigned
- Oct 9, 2024
- Last updated
- Oct 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Favor Ellis
- Title
- Executive Director
- Phone
- (802) 229-9151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
652 Granger Rd Ste 2
Barre, VT 05641-5363
Mailing address
652 Granger Rd Ste 2
Barre, VT 05641-5363
Phone (802) 229-9151
Other names 1
- WASHINGTON COUNTY YOUTH SERVICE BUREAU BOYS & GIRLS CLUB
National Provider Directory
National Provider Directory- Tax ID family
- Elevate Youth Services Incorporated
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Barre, VT
- NPI 1306287651
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Barre, VT
- NPI 1508936238
Locations
652 Granger Rd
Ste 2
Barre, VT 05641
Phone (802) 229-9151
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Barre, VT
- NPI 1851262513
-
- Addiction (Substance Use Disorder) Counselor
- Barre, VT
- NPI 1346193737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1295554996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 GRANGER RD STE 2",
"city": "BARRE",
"state": "VT",
"postal_code": "056415363",
"telephone_number": "802-229-9151",
"fax_number": "802-229-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 GRANGER RD STE 2",
"city": "BARRE",
"state": "VT",
"postal_code": "056415363",
"telephone_number": "802-229-9151",
"fax_number": "802-229-2508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE YOUTH SERVICES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "FAVOR",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "802-229-9151"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WASHINGTON COUNTY YOUTH SERVICE BUREAU BOYS & GIRLS CLUB",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.