Edify Youth
Edify Youth is a healthcare organization registered as Clinical Social Worker in Crystal, MN, holding Type 2 (organization) NPI 1477895985 since 2013. The authorized official on file is Michele Bauer, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477895985 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Edify Youth |
| Practice address | 5108 LAKESIDE AVE N, Crystal, MN, 55429 |
| Phone | 6123064575 |
| Fax | 7632712707 |
| Enumeration date | 2013-03-22 |
| Last updated in NPPES | 2013-03-22 |
Authorized official
| Name | Michele Bauer |
|---|---|
| Title | Administrator |
| Phone | 7635673136 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | — | — |
Copy-ready billing details
Provider: Edify Youth NPI: 1477895985 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 5108 LAKESIDE AVE N, Crystal, MN, 55429
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306271713 | Seth Tupper | Individual | Clinical Social Worker | Crystal, MN |
Verify this record
Cross-check NPI 1477895985 against the authoritative CMS record: view Edify Youth on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Edify Youth?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-03-22.