NPIMap

Organization Active NPI

National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Lakewood Ranch, FL
National Provider Identifier
1477074847
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Practice address
6993 Professional Pkwy
Lakewood Ranch, FL 34240-8411
Phone
(941) 780-2169
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Marvena Twigg
Title
President/Ceo
Phone
(888) 202-2965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

6993 Professional Pkwy
Lakewood Ranch, FL 34240-8411

Mailing address

1801 Watermark Dr Ste 200
Columbus, OH 43215-7088

Other identifiers 1

IdentifierTypeStateIssuer
0218478-00MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
National Youth Advocate Program52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

6993 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 780-2169

1500 Independence Blvd
Ste 210
Sarasota, FL 34234
Phone (941) 371-4799

Practitioners & affiliated clinicians

Practitioners 1

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": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1477074847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WATERMARK DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6993 PROFESSIONAL PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408411",
            "telephone_number": "941-780-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "TWIGG",
        "authorized_official_first_name": "MARVENA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "888-202-2965"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218478-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.