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Northstar Youth Academy LLC

Children's Substance Abuse Rehabilitation Facility in Provo, UT · enumerated 2006 · authorized official Banks Bourgeous, Co-Founder.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780782508

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Registry record

Entity type Organization (Type 2)
Legal business name Northstar Youth Academy LLC
Practice address 900 Columbia Ln, Provo, UT, 84604
Phone (801) 787-6194
Enumeration date Sep 20, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 11932 (UT) Primary

Authorized official

Name Banks Bourgeous
Title Co-Founder
Phone (801) 369-4466

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Northstar Youth Academy LLC?
Northstar Youth Academy LLC is registered in NPPES as a Children's Substance Abuse Rehabilitation Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.