OrganizationActive
Youth of Lewis County
NPI 1578382479 · Peer Specialist · Copenhagen, NY
Youth of Lewis County is a Peer Specialist organization in Copenhagen, NY (NPI 1578382479).
Provider details
- NPI number
- 1578382479
- Entity type
- Organization
- Primary specialty
- Peer SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Wyatt Wagner, Executive Director(315) 816-6448
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9502 State Route 12 Apt 2
Copenhagen, NY 13626-2952
Phone: (315) 816-6448
Street-level locationGet directions
Mailing address
9502 State Route 12 Apt 2
Copenhagen, NY 13626-2952
Registry dates
- Enumerated
- 2024-10-08
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Frequently asked questions
- What is Youth of Lewis County's NPI number?
- Youth of Lewis County's National Provider Identifier (NPI) is 1578382479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Youth of Lewis County?
- Youth of Lewis County is classified in the NPPES registry as Peer Specialist (Other Service Providers).
- Where is Youth of Lewis County located?
- Youth of Lewis County's practice location on file with NPPES is 9502 State Route 12 Apt 2, Copenhagen, NY 13626-2952.
- What is Youth of Lewis County's phone number?
- The practice phone number listed in the NPPES registry for Youth of Lewis County is (315) 816-6448.
- Who is the authorized official for Youth of Lewis County?
- The authorized official listed on Youth of Lewis County's NPPES record is Wyatt Wagner, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Youth of Lewis County's NPI active?
- Yes — Youth of Lewis County's NPI (1578382479) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.