Active NPI
National Youth Advocate Program, Inc
- Community/Behavioral Health Agency
- Sycamore, IL
National Provider Identifier
1477147676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NATIONAL YOUTH ADVOCATE PROGRAM, INC
- Practice address
- 2435 Bethany Rd
Sycamore, IL 60178-3116 - Phone
- (815) 517-1585
- Fax
- (815) 827-6203
- NPI assigned
- Feb 27, 2021
- 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
- Ms. Marvena Twigg
- Title
- Chief Executive Officer
- Phone
- (614) 487-8758
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Foster Care Agency | 253J00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
2435 Bethany Rd
Sycamore, IL 60178-3116
Mailing address
1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Phone (614) 487-8758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251119002915 | IL | Part B Supplier - Clinic/Group Practice | 7719258292 |
Receives reassigned benefits from 5 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sycamore, IL; Rockford, IL; Matteson, IL; Chicago, IL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1689485336
O20251119002915
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1932958204
O20251119002915
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1295124014
O20251119002915
-
- Community/Behavioral Health Agency
- Matteson, IL
- NPI 1417262924
O20251119002915
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1841943495
O20251119002915
National Provider Directory
National Provider DirectoryLocations
2431 Bethany Rd
Ste B
Sycamore, IL 60178
Phone (815) 517-1585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1477147676",
"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",
"telephone_number": "614-487-8758",
"fax_number": "708-747-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 BETHANY RD",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783116",
"telephone_number": "815-517-1585",
"fax_number": "815-827-6203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-27",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "TWIGG",
"authorized_official_first_name": "MARVENA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "614-487-8758",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.