Organization Active NPI

National Youth Advocate Program, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1972392355
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Practice address
12510 Prosperity Dr Ste 360
Silver Spring, MD 20904-1624
Phone
(877) 692-7726
NPI assigned
May 2, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kevin L Cluts
Title
Systems Analyst
Phone
(614) 487-8758

National Provider Directory

National Provider Directory
Tax ID family
National Youth Advocate Program52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

Locations

12510 Prosperity Dr
Ste 360
Silver Spring, MD 20904
Phone (304) 559-2139

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

NPPES NPI Registry

Primary practice location

12510 Prosperity Dr Ste 360
Silver Spring, MD 20904-1624

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2025.

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1972392355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WATERMARK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR STE 360",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041624",
            "telephone_number": "877-692-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL YOUTH ADVOCATE PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "CLUTS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SYSTEMS ANALYST",
        "authorized_official_telephone_number": "614-487-8758"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.