Active NPI
Youth Unlimited Inc
- Community/Behavioral Health Agency
- High Point, NC
National Provider Identifier
1407901689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- YOUTH UNLIMITED INC
- Practice address
- 338 Burton Ave
High Point, NC 27262-8070 - Phone
- (336) 883-1361
- Fax
- (336) 883-0065
- NPI assigned
- Jan 25, 2007
- 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
- Mr. R Clifford Parkers Jr., LPC
- Title
- Ex Director
- Phone
- (336) 883-1361
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
338 Burton Ave
High Point, NC 27262-8070
Mailing address
PO Box 485
High Point, NC 27261-0485
Phone (336) 883-1361
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300347H | Medicaid | NC | |
| 6005364 | Medicaid | NC | |
| 8300354 | Medicaid | NC | |
| 6603220 | Medicaid | NC | |
| 8300354H | Medicaid | NC | |
| 6603468 | Medicaid | NC | |
| 6603602 | Medicaid | NC | |
| 8300347 | Medicaid | NC | |
| 8300347G | Medicaid | NC | |
| 8300354R | Medicaid | NC | |
| 8300354G | Medicaid | NC | |
| 8300354B | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Youth Unlimited Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Sophia, NC
- NPI 1073951281
-
- Community/Behavioral Health Agency
- Sophia, NC
- NPI 1447698659
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Sophia, NC
- NPI 1588002703
-
- Mental Illness Community Based Residential Treatment Facility
- Sophia, NC
- NPI 1629416003
Locations
338 Burton Ave
High Point, NC 27262
Phone (336) 883-1361
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- High Point, NC
- NPI 1942884804
-
- Clinical Social Worker
- Greensboro, NC
- NPI 1003169202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1407901689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 485",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272610485",
"telephone_number": "336-883-1361",
"fax_number": "336-883-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 BURTON AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272628070",
"telephone_number": "336-883-1361",
"fax_number": "336-883-0065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH UNLIMITED INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "PARKERS",
"authorized_official_first_name": "R",
"authorized_official_middle_name": "CLIFFORD",
"authorized_official_title_or_position": "EX DIRECTOR",
"authorized_official_telephone_number": "336-883-1361",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300347H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005364",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300354",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603220",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300354H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603468",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603602",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300347",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300347G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300354R",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300354G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300354B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.