NATIONAL YOUTH ADVOCATE PROGRAM (NPI# 1932461563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932461563 |
| Entity Type | Organization |
| Organization Name | NATIONAL YOUTH ADVOCATE PROGRAM |
| Practice Address |
315 W Ponce De Leon Ave Decatur GA 30030-2400 |
| Practice Telephone | 4047617997 |
| Practice Fax Number | 4047617709 |
| Mailing Telephone | 4047617997 |
| Mailing Fax Number | 4047617709 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | MARVENA TWIGG (PRESIDENT/CEO) |
| Authorized Official Telephone | 6144878758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205245081 | National Youth Advocate Program | Clinic/Center | 732 Wabash St, Michigan City, IN 46360-3418 | 2014-08-06 |
| 1649516527 | National Youth Advocate Program | Clinic/Center | 2600 Sandcrest Blvd Ste A, Columbus, IN 47203-3053 | 2012-12-20 |
| 1528337318 | National Youth Advocate Program | Clinic/Center | 1551 E 85th Ave, Merrillville, IN 46410-8901 | 2011-12-22 |
| 1134498934 | National Youth Advocate Program | Clinic/Center | 56 E Mcclain Ave, Scottsburg, IN 47170-1844 | 2011-12-22 |
| 1235408022 | National Youth Advocate Program | Clinic/Center | 4701 N Keystone Ave Ste 150, Indianapolis, IN 46205-1562 | 2011-12-22 |
| 1336351469 | National Youth Advocate Program | Community/Behavioral Health | 1036 Speedway Avenue, Suite 2, Fairmont, WV 26554 | 2007-05-03 |
| 1538595004 | National Youth Advocate Program | Clinic/Center | 1106 Meridian St, Ste 106, Anderson, IN 46016-2776 | 2013-09-17 |
| 1649406877 | National Youth Advocate Program | Community/Behavioral Health | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2009-06-02 |
| 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 |
315 W PONCE DE LEON AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902878853 | Sharman Dyan Colosetti | Social Worker | 315 W Ponce De Leon Ave, Suite 840, Decatur, GA 30030-2400 | 2006-02-05 |
| 1063045748 | Jacqueline Frances Conway | Counselor | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2020-02-20 |
| 1821621533 | Lewis Ponzo | Counselor | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2020-02-20 |
| 1114429412 | Revere Counseling and Care Management LLC | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30030 | 2018-03-02 |
| 1689182263 | Stephanie Lynn Roach | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30033 | 2018-01-17 |
| 1659804300 | Authentic Living | Counselor | 315 W Ponce De Leon Ave, Suite 835, Decatur, GA 30030-2400 | 2017-04-10 |
| 1205379773 | Katie Leikam | Social Worker | 315 W Ponce De Leon Ave, Suite 847, Decatur, GA 30030-2400 | 2016-11-30 |
| 1144680562 | Sarra Everett | Counselor | 315 W Ponce De Leon Ave, Suit 440, Decatur, GA 30030-2400 | 2016-02-26 |
| 1821495987 | Byers Psychological Services LLC | Psychologist | 315 W Ponce De Leon Ave, Suite 1051, Decatur, GA 30030-2400 | 2014-12-04 |
| 1205182151 | Rainbow Counseling & Consultation Services LLC | Psychologist | 315 W Ponce De Leon Ave, Decatur Court Ste 552, Decatur, GA 30030-2400 | 2012-07-30 |
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|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1881236347 | Alabama Department of Mental Health | Community/Behavioral Health | 401 Lee St Ne Ste 150, Decatur, AL 35601-1902 | 2019-10-16 |
| 1124505177 | Christine Cooper | Community/Behavioral Health | 1925 Old Moulton Rd, Decatur, AL 35601-2752 | 2018-07-23 |
| 1356845937 | D. Bennett Counseling and Consulting Services LLC | Community/Behavioral Health | 614 Valley Brook Rd # 120, Decatur, GA 30033-6022 | 2018-03-20 |
| 1437676632 | Ida's Cove | Community/Behavioral Health | 4280 Memorial Dr Ste C, Decatur, GA 30032-1216 | 2017-08-28 |
| 1699226563 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 E Eldorado St, Decatur, IL 62523-1037 | 2016-10-17 |
| 1144771015 | Heritage Behavioral Health Center | Community/Behavioral Health | 1 Educational Park, Decatur, IL 62526-2548 | 2016-10-17 |
| 1245781129 | Heritage Behavioral Health Center | Community/Behavioral Health | 4735 E Cantrell St, Decatur, IL 62521-8720 | 2016-10-17 |
| 1053862920 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 Meadow Terrace Pl, Decatur, IL 62521-5252 | 2016-10-17 |
| 1528519584 | Heritage Behavioral Health Center | Community/Behavioral Health | 1499 W Grand Ave, Decatur, IL 62522-1410 | 2016-10-14 |
| Find all providers in DECATUR | ||||
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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.