Organization · Type 2 NPI

National Youth Advocate Program

Community/Behavioral Health Agency · Peoria, IL

NPI number 1275344939 Active

Practice location

7620 N University St Ste 109
Peoria, IL 61614-8300

Call (708) 747-2655 Map

Mailing address

1801 Watermark Dr Ste 200
Columbus, OH 43215-7088

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

Community/Behavioral Health Agency: 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 suppo…

4 other providers at this address

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NPI record

NPI: 1275344939
Entity type: Organization (Type 2)
Issued: Jan 14, 2025
Last updated: Nov 2, 2026
Status: Active

Other names

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National Youth Advocate Program · doing business as
National Youth Advocate Program · doing business as

Authorized official

Marvena Twigg
President/ceo
(888) 202-2965

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275344939

National Youth Advocate Program's National Provider Identifier is 1275344939, issued on Jan 14, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Peoria, IL. The record was last updated on Nov 2, 2026.