Youngblood Counseling and Consultation Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YOUNGBLOOD COUNSELING AND CONSULTATION SERVICES LLC

Practice address

690 Northland Blvd
Cincinnati, OH 45240-3214

Phone

(513) 549-2681

Fax

(513) 445-8286

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Youngblood, LICDCNPI 1043517451

Title

Owner

Phone

(513) 505-4145

Specialties & licenses 1

Addresses

Other names 1

• Youngblood Counseling and Consultation Services LLC Doing business as

Locations

Practitioners 3

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

• Kimberly J Youngblood, LICDC, ICDAC

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
  • NPI 1043517451

  Mental Health

  NPD Authorized official
• Vonda K Willis, LPCC

  • Professional Counselor
  • Cincinnati, OH
  • NPI 1164933941

  Single Specialty

  NPD (past)
• Michael D Champion

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1588473011
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1144931973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7753 BITTEROOT LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241172",
            "telephone_number": "513-505-4145",
            "fax_number": "513-445-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 NORTHLAND BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403214",
            "telephone_number": "513-549-2681",
            "fax_number": "513-445-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGBLOOD COUNSELING AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-505-4145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youngblood Counseling and Consultation Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tinnie Jimmia Young
• Tonette Young, LPN
• Victoria L Young
• Wallace Howard Young, O.D.
• Wesley Winston Young, MD
• Anthony Lee Youngblood III
• Emily McBride Youngblood, MD
• Kimberly J Youngblood, LICDC, ICDAC
• Latasha M Youngblood
• Lisa Youngblood

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.