Ashley Carter Youngblood, LLMSW, LLMFT, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098813 Issued in MI

Practice address

4155 S 9TH St
Kalamazoo, MI 49009-8120

Phone

(269) 213-5002

NPI assigned

Mar 30, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inner Peace Counseling, PLC

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1063941599
  NPD (past) Authorized official
• Victory Clinical Services LLC

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
  • NPI 1447383500
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174899421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 S 9TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098120",
            "telephone_number": "269-213-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 S 9TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098120",
            "telephone_number": "269-213-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S Westnedge Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081166",
            "country_code": "US",
            "telephone_number": "269-344-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "ASHLEY",
        "middle_name": "CARTER",
        "name_prefix": "Mrs.",
        "credential": "LLMSW, LLMFT, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098813",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Young
• Tamorah Young, LBSW
• Taylor Young
• Teresa Nicole Young
• Tori Young
• Teresa Youngblood, CD(DONA)
• Rebecca Lynn Youngren, MA, BCBA, LBA
• Mariam Yousif
• Omar Youssef, MD
• Robert Yoxtheimer, MD

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.