NPIMap

Organization Active NPI

Elevate Youth Services Incorporated

  • Case Management Agency
  • Barre, VT
National Provider Identifier
1306287651
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ELEVATE YOUTH SERVICES INCORPORATED
Practice address
652 Granger Rd Ste 2
Barre, VT 05641-5363
Phone
(802) 229-9151
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X 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 identifiers 3

IdentifierTypeStateIssuer
1004380MedicaidVT
1010291MedicaidVT
1010292MedicaidVT

National Provider Directory

National Provider Directory
Tax ID family
Elevate Youth Services Incorporated3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1306287651",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE YOUTH SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004380",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010291",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010292",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 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.