NPIMap

Organization Active NPI

Youth Unlimited Inc

  • Community/Behavioral Health Agency
  • Sophia, NC
National Provider Identifier
1447698659
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
076-086 Issued in NC
Legal business name
YOUTH UNLIMITED INC
Practice address
2869 Youth Unlimited Dr
Sophia, NC 27350-8460
Phone
(336) 861-9243
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mr. R Clifford Parker Jr., M.A. LPC
Title
Ex Director
Phone
(336) 883-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 076-086 NC Primary

Addresses

Primary practice location

2869 Youth Unlimited Dr
Sophia, NC 27350-8460

Mailing address

PO Box 485
High Point, NC 27261-0485
Phone (336) 883-1361

Other identifiers 1

IdentifierTypeStateIssuer
8300354RMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Youth Unlimited Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1447698659",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 YOUTH UNLIMITED DR",
            "city": "SOPHIA",
            "state": "NC",
            "postal_code": "273508460",
            "telephone_number": "336-861-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "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": "M.A. LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "076-086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300354R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sophia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.