Organization Active NPI

Jaded Unrpotected Volatile Youth Services, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1336978287
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JADED UNRPOTECTED VOLATILE YOUTH SERVICES, LLC
Practice address
2650 W Broad St
Columbus, OH 43204-3329
Phone
(614) 290-2637
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mrs. Natasha TurnerNPI 1720807522
Title
Chief Operations Officer
Phone
(614) 632-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2650 W Broad St
Columbus, OH 43204-3329

Mailing address

7850 Peter Hoover Rd
New Albany, OH 43054-9723
Phone (614) 290-2637

National Provider Directory

National Provider Directory

Locations

2650 W Broad St
Columbus, OH 43204
Phone (614) 290-2637

Practitioners & affiliated clinicians

Practitioners 2

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": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1336978287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 PETER HOOVER RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549723",
            "telephone_number": "614-290-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043329",
            "telephone_number": "614-290-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADED UNRPOTECTED VOLATILE YOUTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "614-632-0076",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.