Organization Active NPI

Youth to Wisdom

  • Case Management Agency
  • North Chesterfield, VA
National Provider Identifier
1477916559
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1401112429 Issued in VA
Legal business name
YOUTH TO WISDOM
Practice address
1611 White Cedar LN
North Chesterfield, VA 23235-5449
Phone
(804) 690-8177
Fax
(804) 745-7183
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Mrs. Mary Brown-Brooks
Title
Administrator /Parents Advocate
Phone
(804) 690-8177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1401112429 VA Primary

Addresses

Primary practice location

1611 White Cedar LN
North Chesterfield, VA 23235-5449

Mailing address

1611 White Cedar LN
North Chesterfield, VA 23235-5449
Phone (804) 690-8177

Other identifiers 1

IdentifierTypeStateIssuer
0185355564MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Youth to Wisdom2 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.

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": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1477916559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WHITE CEDAR LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355449",
            "telephone_number": "804-690-8177",
            "fax_number": "804-745-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WHITE CEDAR LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355449",
            "telephone_number": "804-690-8177",
            "fax_number": "804-745-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH TO WISDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BROWN-BROOKS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR /PARENTS ADVOCATE",
        "authorized_official_telephone_number": "804-690-8177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "1401112429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185355564",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.