NPIMap

Organization Active NPI

National Youth Advocate Program

  • Community/Behavioral Health Agency
  • Homewood, IL
National Provider Identifier
1912718669
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NATIONAL YOUTH ADVOCATE PROGRAM
Doing business as
National Youth Advocate Program
Practice address
955 175TH St
Homewood, IL 60430-2028
Phone
(708) 747-2655
NPI assigned
Jan 14, 2025
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Marvena Twigg
Title
President/Ceo
Phone
(888) 202-2965

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

955 175TH St
Homewood, IL 60430-2028

Mailing address

1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Phone (614) 487-8758

Other names 1

  • National Youth Advocate Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Youth Advocate Program Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

955 175th St
Homewood, IL 60430

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1912718669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WATERMARK DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157088",
            "telephone_number": "614-487-8758",
            "fax_number": "614-487-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302028",
            "telephone_number": "708-747-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "TWIGG",
        "authorized_official_first_name": "MARVENA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "888-202-2965"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Youth Advocate Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.