Elevate Youth Services Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ELEVATE YOUTH SERVICES INCORPORATED

Practice address

652 Granger Rd
Barre, VT 05641-5363

Phone

(802) 229-9151

Fax

(802) 229-2508

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Favor Ellis, MA

Title

Executive Director

Phone

(802) 229-9151

Specialties & licenses 4

Addresses

Other identifiers 3

Tax ID family

Elevate Youth Services Incorporated3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Elevate Youth Services Incorporated

  • Public Health or Welfare Agency
  • Barre, VT
  • NPI 1295554996
  NPD tax ID
• Elevate Youth Services Incorporated

  • Case Management Agency
  • Barre, VT
  • NPI 1306287651
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georgiana Birmingham, MA

  • Clinical Child & Adolescent Psychologist
  • Montpelier, VT
  • NPI 1811025844
  NPD (past)
• Bert S Klavens, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Montpelier, VT
  • NPI 1457568776

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1508936238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 GRANGER RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415363",
            "telephone_number": "802-229-9151",
            "fax_number": "802-229-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 GRANGER RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415363",
            "telephone_number": "802-229-9151",
            "fax_number": "802-229-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE YOUTH SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "FAVOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-229-9151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000350",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VT",
            "license": "0470000720",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000651",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004380",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010291",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010292",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela E. Ducharme
• Easter Seals Vermont, Inc
• Pamela Eldredge-Chevalier
• Elevate Youth Services Incorporated
• Elevate Youth Services Incorporated
• Gabriella Elmoussaoui, MA
• Kelley Elwell, FNP
• Michaela Erno
• Kara Erwin
• Ericka Estivill, HS

• All providers in Barre, VT
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.