Youngblood Therapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

YOUNGBLOOD THERAPY LLC

Practice address

2470 Saint Rose Pkwy Ste 302
Henderson, NV 89074-7776

Phone

(702) 241-7166

NPI assigned

Mar 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Youngblood, LMFTNPI 1942554076

Title

Operator/Therapist

Phone

(702) 241-7166

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Youngblood, M.S.

  • Marriage & Family Therapist
  • Henderson, NV
  • NPI 1942554076
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1104625110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BROKEN SHALE CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522890",
            "telephone_number": "702-241-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SAINT ROSE PKWY STE 302",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747776",
            "telephone_number": "702-241-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGBLOOD THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OPERATOR/THERAPIST",
        "authorized_official_telephone_number": "702-241-7166",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942554076",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyonah Young
• Kristen Haunani Young, PT, DPT
• Megan Kuniko Young, MA, OTR/L
• Michael Christopher Young
• Michelle Young, PT, DPT
• Stacy Youngblood, M.S.
• Yourmd PLLC
• Sandy Yousif
• Cristina Yroz, APRN
• Yu Neurology and Electrodiagnostic Center of Nevada LTD

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.