| National Youth Advocate Program, Inc | |
|
1303 E Main St Columbus OH 43205-2047 | |
| (614) 252-6927 | |
| (614) 252-4367 |
| Full Name | National Youth Advocate Program, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1303 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Marvena Twigg (PRESIDENT/CEO) |
| Authorized Official Contact | 6144878758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| National Youth Advocate Program, Inc 1801 Watermark Dr Suite 200 Columbus OH 43215-7088 Ph: (614) 487-8758 | National Youth Advocate Program, Inc 1303 E Main St Columbus OH 43205-2047 Ph: (614) 252-6927 |
| NPI Number | 1679721906 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 09/11/2020 |
| Certification Date | 09/11/2020 |
| Medicare PECOS PAC ID | 7719258292 |
|---|---|
| Medicare Enrollment ID | O20170801003093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679721906 | NPI | - | NPPES |
| 2892946 | Medicaid | OH | |
| 12865 | Other | OH | MACSIS UPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michelle L Drain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992093728 PECOS PAC ID: 3072782846 Enrollment ID: I20110811000692 |
| Provider Name | Teresa L Swango |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073939203 PECOS PAC ID: 5496978900 Enrollment ID: I20140529002461 |
| Provider Name | Misty L Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073791257 PECOS PAC ID: 1951615020 Enrollment ID: I20150803001526 |
| Provider Name | Rachael M Sigafoose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316328198 PECOS PAC ID: 2668767864 Enrollment ID: I20160826002257 |
| Provider Name | Constance Renee Hartgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407307473 PECOS PAC ID: 5890075071 Enrollment ID: I20161205001232 |
| Provider Name | Kevin Lynn Cluts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538439245 PECOS PAC ID: 5597037143 Enrollment ID: I20170817001657 |
| Provider Name | Andrea Dietsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427452820 PECOS PAC ID: 0648542902 Enrollment ID: I20170821002826 |
| Provider Name | Kylie Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346689726 PECOS PAC ID: 8224300538 Enrollment ID: I20170822001559 |
| Provider Name | Kelley L Sega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740710573 PECOS PAC ID: 3274808399 Enrollment ID: I20170928003909 |
| Provider Name | Emily S Hamrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376092437 PECOS PAC ID: 0446525745 Enrollment ID: I20171012003349 |
| Provider Name | Andrea Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215307467 PECOS PAC ID: 4486910429 Enrollment ID: I20171108001537 |
| Provider Name | Christy Orcutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528421047 PECOS PAC ID: 2062778988 Enrollment ID: I20171109001944 |
| Provider Name | Joline M Gadoua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902202609 PECOS PAC ID: 9739434697 Enrollment ID: I20180618000489 |
| Provider Name | Rhonda T Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700322989 PECOS PAC ID: 9739435942 Enrollment ID: I20180702000327 |
| Provider Name | Cassandra Nicole Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316279854 PECOS PAC ID: 8123393238 Enrollment ID: I20180718002167 |
| Provider Name | Elizabeth R Chalfant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003249277 PECOS PAC ID: 9133476260 Enrollment ID: I20180720001496 |
| Provider Name | Tracy Oyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447686167 PECOS PAC ID: 1254606205 Enrollment ID: I20180724002172 |
| Provider Name | Kelly A Vansickle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275806879 PECOS PAC ID: 8325395114 Enrollment ID: I20180725001579 |
| Provider Name | Joei Mcartor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669834925 PECOS PAC ID: 0042585606 Enrollment ID: I20180725002925 |
| Provider Name | Jennifer A Geiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124392758 PECOS PAC ID: 5395092977 Enrollment ID: I20180727002773 |
| Provider Name | Alyssa M Corbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174052633 PECOS PAC ID: 8527316538 Enrollment ID: I20180808001644 |
| Provider Name | Brian Michael Mckibben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053826982 PECOS PAC ID: 6709139041 Enrollment ID: I20181102000738 |
| Provider Name | Dale Lachance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937563 PECOS PAC ID: 3274887591 Enrollment ID: I20181126001049 |
| Provider Name | Lauren E Luebbers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538606017 PECOS PAC ID: 3476899170 Enrollment ID: I20190117001765 |
| Provider Name | Cheri K Craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083033724 PECOS PAC ID: 5193058782 Enrollment ID: I20190613002279 |
| Provider Name | Kristy Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700447638 PECOS PAC ID: 0143550715 Enrollment ID: I20190924002949 |
| Provider Name | Caroline Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437650769 PECOS PAC ID: 9335471598 Enrollment ID: I20191022000650 |
| Provider Name | Audra L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205298320 PECOS PAC ID: 7911334495 Enrollment ID: I20200221001515 |
| Provider Name | Janelle Lynn Woodburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184147191 PECOS PAC ID: 8921436429 Enrollment ID: I20200316002536 |
| Provider Name | Mayra Salamanca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669846564 PECOS PAC ID: 7517396831 Enrollment ID: I20200407001478 |
| Provider Name | Laura Ellen Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306347828 PECOS PAC ID: 6406270446 Enrollment ID: I20200722003890 |
| Provider Name | Bobbi L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497109763 PECOS PAC ID: 8628484664 Enrollment ID: I20210317000443 |
| Provider Name | Rebecca Joy Gwirtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013578020 PECOS PAC ID: 7416364724 Enrollment ID: I20210405001046 |
| Provider Name | Sherry D Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376069245 PECOS PAC ID: 8921416777 Enrollment ID: I20210416001093 |
| Provider Name | Michele Denise Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265703250 PECOS PAC ID: 7416366075 Enrollment ID: I20210511002496 |
| Provider Name | Mikel Williams-ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982122883 PECOS PAC ID: 8628477809 Enrollment ID: I20210519002285 |
| Provider Name | Angela Golladay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548659907 PECOS PAC ID: 7416358197 Enrollment ID: I20210701002352 |
| Provider Name | Mindy Gail Kohsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861700346 PECOS PAC ID: 1153729298 Enrollment ID: I20211005000340 |
| Provider Name | Kelly Elizabeth Papenfus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972043099 PECOS PAC ID: 6800284308 Enrollment ID: I20211103001327 |
| Provider Name | Leigh A Hedrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407353402 PECOS PAC ID: 4082003009 Enrollment ID: I20211112002485 |
| Provider Name | Cheryl Burgess Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518351550 PECOS PAC ID: 6103215975 Enrollment ID: I20211116002932 |
| Provider Name | Rachel Rigg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013105469 PECOS PAC ID: 9234520297 Enrollment ID: I20211229002218 |
| Provider Name | Cassaddie Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972094530 PECOS PAC ID: 9537542162 Enrollment ID: I20220815003407 |
| Provider Name | Rene Michele Porchowsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245705656 PECOS PAC ID: 2567845050 Enrollment ID: I20220816002303 |
| Provider Name | Ellen Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104333475 PECOS PAC ID: 2264815752 Enrollment ID: I20220816002428 |
| Provider Name | Candace Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760973986 PECOS PAC ID: 3577928464 Enrollment ID: I20230427002736 |
| Provider Name | Amanda Kathryn Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114586617 PECOS PAC ID: 2567828288 Enrollment ID: I20230522002474 |
| Provider Name | Latonia Yvette Cushingberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104200716 PECOS PAC ID: 8628376563 Enrollment ID: I20230829000450 |
| Provider Name | Angela Stallo-kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952828576 PECOS PAC ID: 7214381003 Enrollment ID: I20230927003250 |
| Provider Name | Melissa Kathryn Van Dine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629581939 PECOS PAC ID: 1951755743 Enrollment ID: I20230927003648 |
| Provider Name | Alicia Marie Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083131114 PECOS PAC ID: 5294180600 Enrollment ID: I20231004002993 |
| Provider Name | Abena Derkyi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811497472 PECOS PAC ID: 1850746298 Enrollment ID: I20231004003997 |
| Provider Name | Ericka Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174136436 PECOS PAC ID: 4880041979 Enrollment ID: I20231110002274 |
| Provider Name | Danielle M Greiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104107242 PECOS PAC ID: 7113378126 Enrollment ID: I20240103004228 |
| Provider Name | Wesley David Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083109854 PECOS PAC ID: 5799137527 Enrollment ID: I20240117003822 |
| Provider Name | Crystal Sipe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710490362 PECOS PAC ID: 0345692760 Enrollment ID: I20240122000291 |
| Provider Name | Evan Matheney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730628421 PECOS PAC ID: 5991157398 Enrollment ID: I20240122003346 |
| Provider Name | Sheressa Lanette Kelso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457886830 PECOS PAC ID: 5294188496 Enrollment ID: I20240124001251 |
| Provider Name | Noelle Kendra-leah Rowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225640477 PECOS PAC ID: 6103279054 Enrollment ID: I20240127000575 |
| Provider Name | Sarah Pawlak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174065981 PECOS PAC ID: 6305289802 Enrollment ID: I20240212004258 |
| Provider Name | Michele M. Preuss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831316520 PECOS PAC ID: 5496199549 Enrollment ID: I20240216003377 |
| Provider Name | Jessica Saponaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477068609 PECOS PAC ID: 1759721483 Enrollment ID: I20240429002782 |
| Provider Name | Kristin Andra Macaulay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043644628 PECOS PAC ID: 0446690796 Enrollment ID: I20240502003849 |
| Provider Name | Jennifer Lynn Belvis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588225429 PECOS PAC ID: 3971943226 Enrollment ID: I20240502003932 |
| Provider Name | Melynda Nickles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871926386 PECOS PAC ID: 5597105601 Enrollment ID: I20240506001975 |
| Provider Name | Tami A Roll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487928289 PECOS PAC ID: 6204276322 Enrollment ID: I20240506003569 |
| Provider Name | Elizabeth Chinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033675913 PECOS PAC ID: 7810338936 Enrollment ID: I20240507002833 |
| Provider Name | Rachael L Barrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598201212 PECOS PAC ID: 0840631990 Enrollment ID: I20240507003969 |
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