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NATIONAL YOUTH ADVOCATE PROGRAM
NPI 1336351469
Community/Behavioral Health in Fairmont, WV

Active since May 03, 2007
909 MORGANTOWN AVE, FAIRMONT, WV 26554(304) 366-5832(304) 366-5863 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About National Youth Advocate Program NPPES

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

NATIONAL YOUTH ADVOCATE PROGRAM (NPI 1336351469) is a healthcare organization registered as a community/behavioral health in Fairmont, West Virginia and active in the NPI registry since May 2007. The organization lists Renee Ellenberger, Executive Director, Wv, as its authorized official.

NPPES Registry Identity

NPI1336351469
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNATIONAL YOUTH ADVOCATE PROGRAM
Location Address909 MORGANTOWN AVEFairmont, WV 26554-4335
Mailing Address909 Morgantown AveFairmont, WV 26554-4335 · (304) 366-5832 · Fax (304) 366-5863
Phone(304) 366-5832
Fax(304) 366-5863
Organization SubpartNo
Authorized OfficialRenee EllenbergerExecutive Director, Wv · (304) 363-4237
Enumeration DateMay 3, 2007
Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1336351469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WV · 97
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
909 MORGANTOWN AVE, Fairmont, WV 26554
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Other Identifiers 1

Medicaid0023630001WV

Other Providers at the Same Location NPPES 20

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

CECILIA ANN MATHENEY BS
Case Manager/Care Coordinator
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 363-4237
JOANNA E JOHNSON
Case Manager/Care Coordinator
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-5832
MS. MICHELLE LYNN PAQUETTE MSD
Case Manager/Care Coordinator
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 551-2815
SARA NICOLE HESTON LSW
Social Worker
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-5832
TIERNEY ERIN LEARY LGSW
Social Worker
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-5832
TOGRUL N AKHMEDOV BA
Social Worker
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-5832
MRS. COURTNEY NYCOLE HOLDER MSW, LICSW
Social Worker (Clinical)
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-5832
DOUGLAS EDWARD SMOTHERS JR.
Case Manager/Care Coordinator
909 MORGANTOWN AVE
FAIRMONT, WV 26554
Marion County (304) 366-5832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is National Youth Advocate Program's NPI number?

The NPI number for National Youth Advocate Program is 1336351469. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is National Youth Advocate Program located?

National Youth Advocate Program is located at 909 Morgantown Ave, Fairmont, WV 26554. The listed phone number is (304) 366-5832.

What is National Youth Advocate Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for National Youth Advocate Program was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.