Greggory Youngblood, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LAC5086 Issued in LA

Practice address

10508 N Glenstone PL
Baton Rouge, LA 70810-2838

Phone

(225) 349-8696

Fax

(225) 349-8698

NPI assigned

Apr 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1558823203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "GROSSE TETE",
            "state": "LA",
            "postal_code": "707400383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 N GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102838",
            "telephone_number": "225-349-8696",
            "fax_number": "225-349-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25073 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Plaquemine",
            "state": "LA",
            "postal_code": "707644431",
            "country_code": "US",
            "telephone_number": "225-687-1772",
            "fax_number": "225-687-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "GREGGORY",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "LAC5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Young
• Tenesia Young
• Vanessa Young
• Weslyn Jane Young
• Donna Marie Youngblood
• Lilias Adele Yount, MA, SLP
• Youth Empowerment Solutions, LLC
• Youth Oasis
• Gordon Hoi-Pang Yue, M.D.
• Gerald Yumul

• Addiction (Substance Use Disorder) Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.