Youth Health Service Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

55 Issued in WV

Legal business name

YOUTH HEALTH SERVICE INC

Practice address

971 Harrison Ave
Elkins, WV 26241-3608

Phone

(304) 636-9450

Fax

(304) 696-2282

NPI assigned

Sep 6, 2013

Last updated

Sep 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer M Lauler, MSW

Title

Casemanager

Phone

(304) 636-9450

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Youth Health Service Inc2 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.

• Youth Health Service Inc

  • Social Worker
  • Elkins, WV
  • NPI 1366799561
  NPD tax ID

Locations

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1982039160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-636-9450",
            "fax_number": "304-696-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413608",
            "telephone_number": "304-636-9450",
            "fax_number": "304-696-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "LAULER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CASEMANAGER",
        "authorized_official_telephone_number": "304-636-9450",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "55",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550665150",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Yoakum
• Lorena Ann Yokum
• Mary Yokum
• Michelle Yokum
• Youth Health Service Inc
• Youth Health Service, Inc
• Youth Health Service, Inc.
• Youth Health Service,Inc
• Bobby Yow II, M.D.
• Alejandro Zaafra

• Community/Behavioral Health Agency in Elkins, WV
• Providers in Elkins, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.