Active NPI
Jaded Unrpotected Volatile Youth Services, LLC
- Community/Behavioral Health Agency
- Columbus, OH
National Provider Identifier
1336978287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Natasha Turner
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Case Manager/Care Coordinator
- Columbus, OH
- NPI 1720807522
Community/Behavioral Health
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1396584819
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.