NPIMap

Organization Active NPI

Youth Outreach Services

  • Community/Behavioral Health Agency
  • Highland Springs, VA
National Provider Identifier
1538772413
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUTH OUTREACH SERVICES
Practice address
10 E Washington St
Highland Springs, VA 23075-1905
Phone
(571) 314-7503
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Antoine Lavon Harris
Title
President
Phone
(571) 494-9311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10 E Washington St
Highland Springs, VA 23075-1905

Mailing address

7050 Lakota Dr Apt 301
Woodbridge, VA 22192-5392
Phone (571) 494-9311

National Provider Directory

National Provider Directory
Tax ID family
Youth Outreach 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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1538772413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 LAKOTA DR APT 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925392",
            "telephone_number": "571-494-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E WASHINGTON ST",
            "city": "HIGHLAND SPRINGS",
            "state": "VA",
            "postal_code": "230751905",
            "telephone_number": "571-314-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-494-9311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Springs, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.