Ohio Youth Advocate Program

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

10709 Issued in OH

Legal business name

OHIO YOUTH ADVOCATE PROGRAM

Practice address

1445 Summit St
Columbus, OH 43201-2105

Phone

(614) 523-1001

Fax

(614) 583-1003

NPI assigned

Apr 17, 2006

Last updated

Aug 22, 2020By 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

Mrs. Joan M Wilson

Title

Executive Director

Phone

(614) 921-2111

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326002122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 RIVERSIDE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175069",
            "telephone_number": "614-717-8000",
            "fax_number": "614-717-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 SUMMIT ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012105",
            "telephone_number": "614-523-1001",
            "fax_number": "614-583-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO YOUTH ADVOCATE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-921-2111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "353",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "10709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10178",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ohio Wound & Infusion Services
• Ohio-at-Home Health Care Agency
• Ohiocare Inc.
• Ohiohealth
• Ohiohealth Corporation (Ohiohealth Mothers' Milk Bank)
• Ohiohealth Corporation (OhioHealth Emergency Medical Services)

• Public Health or Welfare Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Public Health or Welfare Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.