Youth Farm Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

02285710 Issued in IL

Legal business name

YOUTH FARM INC

Practice address

7225 Plank Rd
Peoria, IL 61604-5296

Phone

(309) 697-4555

Fax

(309) 697-4033

NPI assigned

Mar 17, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jim Phillips, MDIV PHD LCPC

Title

Executive Director

Phone

(309) 697-4555

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558330894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 PLANK RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616045296",
            "telephone_number": "309-697-4555",
            "fax_number": "309-697-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 PLANK RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616045296",
            "telephone_number": "309-697-4555",
            "fax_number": "309-697-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH FARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-697-4555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MDIV  PHD  LCPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "02285710",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "02285710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Young, M.S. ED
• Leann B Young, PAC
• Shane G. Young, MA, NCC, LPC
• Austin Youngman, RD, LDN
• Laura A Youngman, APN
• Sheng Nan Yu, OD
• K'la Dawn Yuan
• Michelle A Yuen
• Iram Yunus
• Muhammad Yunus, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Peoria, IL
• Providers in Peoria, IL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.