Juvenile Uplifting Mentoring Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JUVENILE UPLIFTING MENTORING PROGRAM

Practice address

734 W 4TH St
Williamsport, PA 17701-5904

Phone

(267) 326-7959

NPI assigned

Apr 21, 2026

Organization subpart

No

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

Authorized official

Name

Intisar Martin, CRS, MS

Title

Executive Director

Phone

(267) 326-7959

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1770428328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 MAIN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177027312",
            "telephone_number": "267-326-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 W 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015904",
            "telephone_number": "267-326-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVENILE UPLIFTING MENTORING PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "INTISAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-326-7959",
        "authorized_official_credential": "CRS, MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuesday Nicole Joy, COTA/L
• Nicole Ann Judge, PHD, PA-C
• Timothy Judge
• Just Flow Consulting Agency LLC
• Stephanie Lynn Justice, LBS
• K Fisher & Associates, Inc
• Brian Kaderli, MD
• Lori Kahler Brown, MA
• Patricia J Kaiser, CNM
• Ralph H. Kaiser, M.D.

• Community/Behavioral Health Agency in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.