Youth Health Service Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00944009 Issued in WV

Legal business name

YOUTH HEALTH SERVICE INC

Practice address

971 Harrison Avenue
Youth Health Service Inc
Elkins, WV 26241

Phone

(304) 636-9450

Fax

(304) 636-2282

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Kay Koon

Title

Billing Clerk

Phone

(304) 636-9450

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Youth Health Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Youth Health Service Inc

  • Community/Behavioral Health Agency
  • Elkins, WV
  • NPI 1982039160
  NPD tax ID

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1366799561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 HARRISON AVENUE",
            "address_2": "YOUTH HEALTH SERVICE INC",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-636-9450",
            "fax_number": "304-636-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 HARRISON AVENUE",
            "address_2": "YOUTH HEALTH SERVICE INC",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-636-9450",
            "fax_number": "304-636-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "KOON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "304-636-9450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00944009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023397001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Yezzi
• Ellen Yoakum
• Lorena Ann Yokum
• Mary Yokum
• Michelle Yokum
• Youth Health Service Inc
• Youth Health Service, Inc
• Youth Health Service, Inc.
• Youth Health Service,Inc
• Bobby Yow II, M.D.

• Social Worker in Elkins, WV
• Providers in Elkins, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.