NATIONAL YOUTH ADVOCATE PROGRAM, INC (NPI# 1730586694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730586694 |
| Entity Type | Organization |
| Organization Name | NATIONAL YOUTH ADVOCATE PROGRAM, INC |
| Practice Address |
4055 Faber Place Dr Ste 300 North Charleston SC 29405-8524 |
| Mailing Address |
1801 Watermark Dr Columbus OH 43215-7088 |
| Practice Telephone | 6144878758 |
| Mailing Telephone | 8886889964 |
| Mailing Fax Number | 6144873819 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | MARVENA TWIGG (PRESIDENT/CEO) |
| Authorized Official Telephone | 8886889964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 253J00000X | Foster Care Agency | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 224BHS | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 124 Edinburgh Ct Ste 113, Greenville, SC 296072542 | 6144878758 | |
| 810 Dutch Square Blvd Ste 107, Columbia, SC 292107318 | 6144878758 |
| 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 |
4055 FABER PLACE DR STE 300 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-8524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588606 | Linda M Wagner | Social Worker | 4055 Faber Place Dr Ste 300, North Charleston, SC 29405-8524 | 2005-12-15 |
| 1275160525 | Miriam Smith | Social Worker | 4055 Faber Place Dr Ste 300, North Charleston, SC 29405-8524 | 2020-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116517 | Transcendence Treatment Center, LLC | Community/Behavioral Health | 3900 Leeds Ave Ste 101, North Charleston, SC 29405-7461 | 2020-05-28 |
| 1114460375 | Crossroads Treatment Center of Charleston, PC | Community/Behavioral Health | 2470 Mall Dr, Unit C, North Charleston, SC 29406-6514 | 2016-11-21 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1437569662 | Communities In Schools of The Charleston Area, Inc. | Community/Behavioral Health | 1090 E Montague Ave, North Charleston, SC 29405-4837 | 2014-04-28 |
| 1295175735 | Step By Step, LLC | Community/Behavioral Health | 2426 Stadium Dr, North Charleston, SC 29406-6600 | 2013-06-28 |
| 1235431784 | Divine Intervention Counseling Services | Community/Behavioral Health | 3236 Landmark Drive, Suite 124, North Charleston, SC 29418 | 2010-12-03 |
| 1801449426 | Naomi Leedie, LLC | Community/Behavioral Health | 9263 Medical Plaza Dr Ste A, North Charleston, SC 29406-7112 | 2019-07-23 |
| 1245779164 | Graceful Living Behavioral Support | Community/Behavioral Health | 3236 Landmark Dr, North Charleston, SC 29418-8488 | 2017-02-13 |
| 1841659885 | Hope Advancement, Inc | Community/Behavioral Health | 2810 Ashley Phosphate Rd, North Charleston, SC 29418-6405 | 2016-02-18 |
| 1083088967 | Taking A Positive Step Inc | Community/Behavioral Health | 6650 Rivers Ave, North Charleston, SC 29406-4809 | 2015-11-16 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
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.