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NATIONAL YOUTH ADVOCATE PROGRAM, INC
NPI 1073091856
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since August 02, 2018
1902 W CERMAK RD, CHICAGO, IL 60608(855) 460-6119(773) 360-8379 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 30, 2022, Mar 3, 2020, Aug 2, 2018 (3 updates tracked since 2018).

About National Youth Advocate Program, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIONAL YOUTH ADVOCATE PROGRAM, INC (NPI 1073091856) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Matteson and lists Michelle Yvonne Lizardi, Medicaid Billing Specialist Ii, as its authorized official.

NPPES Registry Identity

NPI1073091856
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNATIONAL YOUTH ADVOCATE PROGRAM, INC
Location Address1902 W CERMAK RDChicago, IL 60608-4204
Mailing Address1801 Watermark Dr Ste 200Columbus, OH 43215-7088 · (888) 202-2965 · Fax (614) 227-9447
Phone(855) 460-6119
Fax(773) 360-8379
Organization SubpartNo
Authorized OfficialMichelle Yvonne LizardiMedicaid Billing Specialist Ii · (614) 227-9430
Enumeration DateAugust 2, 2018
Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1073091856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1902 W CERMAK RD, Chicago, IL 60608
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Secondary Practice Location 1

Location 14747 Lincoln Mall Dr Ste 101Matteson, IL 60443-3812 · Phone (866) 596-6955 · Fax (708) 747-2859

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ICARE OPTICAL, LLC
Technician/Technologist (Optician)
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (312) 316-0311
AMY JOSLIN LCSW
Social Worker (Clinical)
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (312) 497-1311
CHYAIRE MICHELLE BROWN MSW
Social Worker
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 596-9045
FELICIA BASTON
Social Worker
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 596-9045
DARIUS JOHNSON
Behavior Analyst
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 596-9045
ADVANCED WELLNESS INSTITUTE
Clinic/Center
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 927-2400
ALEXANDRIA FLORES
Social Worker
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 596-9045
BIANKA SIKAFFY INTERN THERAPIST
Social Worker (Clinical)
1902 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 220-8256

Frequently Asked Questions

What is NATIONAL YOUTH ADVOCATE PROGRAM, INC's NPI number?

The NPI number assigned to this healthcare provider is 1073091856, enumerated as an "organization" on August 02, 2018.

Where is the provider located?

The provider is located at 1902 W CERMAK RD CHICAGO, IL 60608 and the phone number is (855) 460-6119.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).