NPIMap

Organization Active NPI

South Carolina Youth Advocate Program

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1790789501
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH CAROLINA YOUTH ADVOCATE PROGRAM
Practice address
140 Stoneridge Dr
Ste 350
Columbia, SC 29210-8258
Phone
(803) 779-5500
Fax
(803) 779-8444
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Mr. Lex Cole
Title
Executive Director
Phone
(803) 779-5500

Specialties & licenses 1

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

Addresses

Primary practice location

140 Stoneridge Dr
Ste 350
Columbia, SC 29210-8258

Mailing address

140 Stoneridge Dr
Ste 350
Columbia, SC 29210-8258
Phone (803) 779-5500

Other identifiers 1

IdentifierTypeStateIssuer
998MXHMedicaidSC

Other names 1

  • SCYAP Other name

National Provider Directory

National Provider Directory
Tax ID family
South Carolina Youth Advocate Program3 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.

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1790789501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR",
            "address_2": "STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108258",
            "telephone_number": "803-779-5500",
            "fax_number": "803-779-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR",
            "address_2": "STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108258",
            "telephone_number": "803-779-5500",
            "fax_number": "803-779-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA YOUTH ADVOCATE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LEX",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-779-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCYAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.