NPIMap

Organization Active NPI

National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Winchester, KY
National Provider Identifier
1508397340
Registry record updated May 20, 2026
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
7 Waveland Ave
Winchester, KY 40391-1231
Phone
(859) 385-4669
Fax
(859) 201-1450
NPI assigned
Mar 23, 2017
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Naomi McCrary
Title
Revenue Cycle Credentialing Manager
Phone
(614) 487-8758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

7 Waveland Ave
Winchester, KY 40391-1231

Mailing address

1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Phone (888) 688-9964

Other identifiers 1

IdentifierTypeStateIssuer
7100485520MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319003635 KY Part B Supplier - Clinic/Group Practice 7719258292 Receives reassigned benefits from 5 practitioners
Practice locations: Winchester, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
National Youth Advocate Program53 organizations share this tax ID, including this one

Locations

7 Waveland Ave
Winchester, KY 40391
Phone (859) 385-4669

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1508397340",
    "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": "888-688-9964",
            "fax_number": "614-227-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WAVELAND AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911231",
            "telephone_number": "859-385-4669",
            "fax_number": "859-201-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "MCCRARY",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "REVENUE CYCLE CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "614-487-8758"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100485520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.