Organization Active NPI

Youth Education and Transition Services

  • Counselor
  • Trenton, NJ
National Provider Identifier
1861684185
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00303500 Issued in NJ
Legal business name
YOUTH EDUCATION AND TRANSITION SERVICES
Practice address
702 Brunswick Ave
Trenton, NJ 08638
Phone
(609) 392-5563
Fax
(609) 392-5528
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Mr. Jerome Robinson, ED S LPC LCAPC SAC C
Title
Ceo
Phone
(609) 392-5563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 37PC00303500 NJ Primary

Addresses

Primary practice location

702 Brunswick Ave
Trenton, NJ 08638

Mailing address

702 Brunswick Ave
Trenton, NJ 08638
Phone (609) 392-5563

Other identifiers 1

IdentifierTypeStateIssuer
0018279MedicaidNJ

Other names 1

  • YETS Other name

National Provider Directory

National Provider Directory
Tax ID family
Yets2 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.

Locations

702 Brunswick Ave
Trenton, NJ 08638
Phone (609) 392-5563

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1861684185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-392-5563",
            "fax_number": "609-392-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-392-5563",
            "fax_number": "609-392-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EDUCATION AND TRANSITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-392-5563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED S LPC LCAPC SAC C"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00303500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018279",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YETS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.