Organization Active NPI

Just in Time Youth Services

  • Mental Illness Community Based Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1497958524
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
JUST IN TIME YOUTH SERVICES
Practice address
111 Dogwood Dr
Burlington, NC 27215-5303
Phone
(336) 437-2350
Fax
(336) 270-4578
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Miss Lisa Lynette Brown, CEO
Title
Chief Executive Officer
Phone
(336) 437-2350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-001-149 NC

Addresses

Primary practice location

111 Dogwood Dr
Burlington, NC 27215-5303

Mailing address

PO Box 2162
Burlington, NC 27216-2162
Phone (336) 437-2350

Other practice location 1

1710 Sykes St
Burlington, NC 27215-5617
Phone (336) 473-2350

National Provider Directory

National Provider Directory
Tax ID family
Just in Time Youth Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1497958524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2162",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162162",
            "telephone_number": "336-437-2350",
            "fax_number": "336-578-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOGWOOD DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155303",
            "telephone_number": "336-437-2350",
            "fax_number": "336-270-4578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Sykes St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155617",
            "country_code": "US",
            "telephone_number": "336-473-2350",
            "fax_number": "336-270-4578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUST IN TIME YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-437-2350",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-001-149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.