Organization Active NPI

Youth Advocate Programs, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Woodbury, NJ
National Provider Identifier
1306120167
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
0257265 Issued in NJ
Legal business name
YOUTH ADVOCATE PROGRAMS, INC.
Practice address
603 N Broad St Ste 211
Woodbury, NJ 08096-1619
Phone
(856) 848-0165
Fax
(856) 848-0403
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Elizabeth Drake
Title
Vice President
Phone
(717) 232-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0257265 NJ Primary

Addresses

Primary practice location

603 N Broad St Ste 211
Woodbury, NJ 08096-1619

Mailing address

3899 N Front St
Harrisburg, PA 17110-1583
Phone (717) 232-7580

Other identifiers 1

IdentifierTypeStateIssuer
0257265MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Youth Advocate Programs Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

603 N Broad St
Ste 211
Woodbury, NJ 08096
Phone (856) 384-0238

3899 N Front St
Harrisburg, PA 17110
Phone (717) 232-7580

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306120167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101583",
            "telephone_number": "717-232-7580",
            "fax_number": "717-232-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N BROAD ST STE 211",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961619",
            "telephone_number": "856-848-0165",
            "fax_number": "856-848-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ADVOCATE PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-232-7580"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "0257265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257265",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.