Lynell Bennett Youngblood, BA, CADCII, NCACII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A3163282 Issued in CA

Practice address

4545 Georgetown PL
Ste F-36
Stockton, CA 95207-6215

Phone

(209) 953-8900

Fax

(209) 953-8816

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lynell Bennett Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1538359682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL",
            "address_2": "STE F-36",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076215",
            "telephone_number": "209-953-8900",
            "fax_number": "209-953-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL",
            "address_2": "STE F-36",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076215",
            "telephone_number": "209-953-8900",
            "fax_number": "209-953-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "LYNELL",
        "middle_name": "BENNETT",
        "credential": "BA, CADCII, NCACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A3163282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNELL",
            "last_name": "BENNETT",
            "credential": "BA, CADCII, NCACII",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Qiana Lynette Young
• Shoanie Young
• Tijara Young
• Yonie Young, L. AC
• Cheryl Ann Youngblood
• Kasandra Evette Younger
• Nhia Younger
• Your Inner Peace Counseling & Wellness
• Walter Stanley Yourchek, MD
• Marleen Anne Yu-Li, MD

• Addiction (Substance Use Disorder) Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.