National Youth Advocate Program, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NATIONAL YOUTH ADVOCATE PROGRAM, INC

Practice address

2200 Lake Ave Ste 225
Fort Wayne, IN 46805-5364

Phone

(260) 702-0360

Fax

(260) 818-2300

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Yvonne Lizardi

Title

Medicaid Billing Specialist II

Phone

(614) 227-9430

Specialties & licenses 1

Addresses

Tax ID family

National Youth Advocate Program52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

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

• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsburg, IN
  • NPI 1134498934
  NPD tax ID
• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
  • NPI 1235408022
  NPD tax ID
• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Merrillville, IN
  • NPI 1528337318
  NPD tax ID
• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, IN
  • NPI 1538595004
  NPD tax ID
• National Youth Advocate Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, IN
  • NPI 1649516527
  NPD tax ID
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Bend, IN
  • NPI 1003374422
  NPD tax ID
• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Lafayette, IN
  • NPI 1235800616
  NPD tax ID
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, IN
  • NPI 1447974829
  NPD tax ID
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Versailles, IN
  • NPI 1720546146
  NPD tax ID

Locations

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1487112751",
    "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": "888-202-2965",
            "fax_number": "614-487-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LAKE AVE STE 225",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055364",
            "telephone_number": "260-702-0360",
            "fax_number": "260-818-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "LIZARDI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "MEDICAID BILLING SPECIALIST II",
        "authorized_official_telephone_number": "614-227-9430"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.