NATIONAL YOUTH ADVOCATE PROGRAM, INC (NPI# 1487112751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487112751 |
| Entity Type | Organization |
| Organization Name | NATIONAL YOUTH ADVOCATE PROGRAM, INC |
| Practice Address |
2200 Lake Ave Ste 225 Fort Wayne IN 46805-5364 |
| Mailing Address |
1801 Watermark Dr Ste 200 Columbus OH 43215-7088 |
| Practice Telephone | 2607020360 |
| Practice Fax Number | 2608182300 |
| Mailing Telephone | 8882022965 |
| Mailing Fax Number | 6144878759 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | MICHELLE YVONNE LIZARDI (MEDICAID BILLING SPECIALIST II) |
| Authorized Official Telephone | 6142279430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| 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 |
| 1417262924 | National Youth Advocate Program, Inc | Community/Behavioral Health | 4801 Southwick Dr Fl 3, Matteson, IL 60443-2254 | 2010-08-10 |
| 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 |
| 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 |
2200 LAKE AVE STE 225 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114401080 | Robin Gene Vandeventer | Counselor | 2200 Lake Ave Ste 225, Fort Wayne, IN 46805-5364 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| 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 |
|---|---|---|---|---|
| 1053964866 | Cynthia Probst Lmhc LLC | Clinic/Center | 1025 W Rudisill Blvd Ste 202, Fort Wayne, IN 46807-2168 | 2019-07-20 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1003205998 | Christina Stapleton, L.l.c | Clinic/Center | 10315 Dawsons Creek Blvd # 12, Fort Wayne, IN 46825-1912 | 2015-01-14 |
| 1326286444 | Farrington Specialty Counseling Inc. | Clinic/Center | 3142 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2009-01-27 |
| 1053943779 | Kmr Psychiatric Services LLC | Clinic/Center | 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN 46804-6838 | 2020-02-11 |
| 1295396810 | Neossia Inc | Clinic/Center | 412 S Scott Rd, Fort Wayne, IN 46814 | 2019-06-25 |
| 1659859619 | Tamara N Lombard, Phd, LLC | Clinic/Center | 7337 W Jefferson Blvd Ste 175, Fort Wayne, IN 46804-6286 | 2018-08-01 |
| 1588167860 | Ally Counseling & Consulting, LLC | Clinic/Center | 203 W Wayne St Ste 317, Fort Wayne, IN 46802-3610 | 2018-03-13 |
| 1639316086 | Pejus, Inc | Clinic/Center | 1515 Magnavox Way, Fort Wayne, IN 46804-1533 | 2009-01-07 |
| 1447391495 | Family and Children Behavioral Health PC | Clinic/Center | 4656 W Jefferson Blvd, Ste. 135, Fort Wayne, IN 46804-6857 | 2007-02-11 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on NATIONAL YOUTH ADVOCATE PROGRAM, INC.
| 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.