NATIONAL YOUTH ADVOCATE PROGRAM, INC (NPI# 1417262924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417262924 |
| Entity Type | Organization |
| Organization Name | NATIONAL YOUTH ADVOCATE PROGRAM, INC |
| Practice Address |
4801 Southwick Dr Fl 3 Matteson IL 60443-2254 |
| Mailing Address |
1801 Watermark Dr Suite 200 Columbus OH 43215-7088 |
| Practice Telephone | 8665966955 |
| Practice Fax Number | 7087472859 |
| Mailing Telephone | 8882022965 |
| Mailing Fax Number | 6144878759 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | MARVENA TWIGG (PRESIDENT/CEO) |
| Authorized Official Telephone | 8882022965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253J00000X | Foster Care Agency | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4747 Lincoln Mall Dr, Suite 101, Matteson, IL 60443 | 8665966955 | 7087472859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003374422 | National Youth Advocate Program, Inc | Clinic/Center | 3631 Edison Rd, South Bend, IN 46615-3715 | 2019-03-05 |
| 1720546146 | National Youth Advocate Program, Inc | Clinic/Center | 839 S Adams St, Versailles, IN 47042-9422 | 2019-03-05 |
| 1205392479 | National Youth Advocate Program, Inc | Foster Care Agency | 401 Nw 2nd Ave Ste 1000, Miami, FL 33128-1740 | 2019-02-13 |
| 1871007062 | National Youth Advocate Program, Inc | Community/Behavioral Health | 2200 Rosselle St, Jacksonville, FL 32204-3126 | 2017-11-27 |
| 1184145559 | National Youth Advocate Program, Inc | Community/Behavioral Health | 4150 Ford St, Fort Myers, FL 33916-9498 | 2017-07-06 |
| 1942672670 | National Youth Advocate Program, Inc | Foster Care Agency | 700 W Hillsboro Blvd Ste 2-205, Deerfield Beach, FL 33441-1616 | 2015-10-21 |
| 1679721906 | National Youth Advocate Program, Inc | Community/Behavioral Health | 1303 E Main St, Columbus, OH 43205-2047 | 2008-08-28 |
| 1750993671 | National Youth Advocate Program, Inc | Community/Behavioral Health | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-08-21 |
| 1487299715 | National Youth Advocate Program, Inc | Foster Care Agency | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-11-11 |
| 1083270193 | National Youth Advocate Program, Inc | Community/Behavioral Health | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2019-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NATIONAL YOUTH ADVOCATE PROGRAM, INC. | 1801 Watermark Dr Ste 200, Columbus, OH 43215 |
| Colorado Business Entities | NATIONAL YOUTH ADVOCATE PROGRAM, INC. | 1801 Watermark Drive, Suite 200, Columbus, OH 43215 |
| Colorado Business Entities | National Youth Advocate Program, Inc. - Colorado | 1801 Watermark Drive, Suite 200, Columbus, OH 43215 |
| Street Address |
4801 SOUTHWICK DR FL 3 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639233174 | Grand Prairie Services | Clinic/Center | 21136 Keeler Ave, Matteson, IL 60443-2242 | 2006-12-20 |
| 1932442571 | Laynie Foundation | Clinic/Center | 4747 Lincoln Mall Dr, Suite 604, Matteson, IL 60443-3811 | 2013-04-02 |
| 1902982127 | Center Services Inc | Clinic/Center | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-31 |
| 1811073034 | Dyann Inc | Clinic/Center | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-31 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.