Victoria C. Youngblood

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1575 Issued in CO

Legal business name

VICTORIA C. YOUNGBLOOD

Practice address

2019 E Bijou St
Suite Number 2
Colorado Springs, CO 80909-5818

Phone

(719) 459-6710

Fax

(719) 465-3150

NPI assigned

May 16, 2012

Last updated

May 16, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

AYUDAAs reported in NPPES

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

Authorized official

Name

Victoria C Youngblood, M.S CAC III, LPC

Title

Owner/Director

Phone

(719) 459-6710

Specialties & licenses 2

Addresses

Part of

Victoria C Youngblood

Locations

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1205195807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E BIJOU ST",
            "address_2": "SUITE NUMBER 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095818",
            "telephone_number": "719-459-6710",
            "fax_number": "719-465-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E BIJOU ST",
            "address_2": "SUITE NUMBER 2",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095818",
            "telephone_number": "719-459-6710",
            "fax_number": "719-465-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA C. YOUNGBLOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AYUDA",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "719-459-6710",
        "authorized_official_credential": "M.S CAC III, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "4082",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan B Vicars
• Karis Vick Loberg
• Coby A Vick
• Brian Eason Vickers, BS, BT
• Brock Vickery, MD
• Viviana Victorino
• Catherine Lee Victorson, LCSW
• Teri Vida
• Vianca Vidal
• Rebekah Ann Vidro, OTR

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.