Individual provider Active NPI

Darrell Tarrell Youngblood, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1679252027
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
206593 Issued in LA
Practice address
305 Gretna Blvd Ste a
Gretna, LA 70053-4995
Phone
(504) 544-1061
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61661385 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 83048 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704435172 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1143578 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 321232 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP030665 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10027568 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11027857 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0102818-C-NP CO
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 206593 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406045 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024189159 VA

Addresses

Primary practice location

305 Gretna Blvd Ste a
Gretna, LA 70053-4995

Mailing address

1901 Manhattan Blvd BLDG D
Harvey, LA 70058-3583
Phone (504) 544-1061

Other practice location 1

6565 Fannin St Ste 300
Houston, TX 77030-2703
Phone (832) 667-5301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250210001927 TX Practitioner - Nurse Practitioner 0840726394 Reassigns benefits to 4 organizations
I20250409003332 WA Practitioner - Nurse Practitioner 0840726394 Reassigns benefits to 1 organization
I20260120000586 OR Practitioner - Nurse Practitioner 0840726394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3159 Carpenters Park Rd
Davidsville, PA 15928-9223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
321232AZMDPsychiatric/Mental Health Nurse Practitioner
APN.0102818-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
APRN11027857FLMDPsychiatric/Mental Health Nurse Practitioner
206593LAMDPsychiatric/Mental Health Nurse Practitioner
4704435172MIMDPsychiatric/Mental Health Nurse Practitioner
83048NMMDPsychiatric/Mental Health Nurse Practitioner
406045NYMDPsychiatric/Mental Health Nurse Practitioner
10027568ORMDPsychiatric/Mental Health Nurse Practitioner
SP030665PAMDPsychiatric/Mental Health Nurse Practitioner
1143578TXMDPsychiatric/Mental Health Nurse Practitioner
0024189159VAMDPsychiatric/Mental Health Nurse Practitioner
AP61661385WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center Single Specialty CurrentSince Dec 10, 2025 Accepting new patients
Pharaoh Mind Single Specialty CurrentSince Aug 27, 2024 Accepting new patients
Kind Health Texas PLLC Single Specialty CurrentSince Jan 24, 2025 Accepting new patients
Kinesthetic Mind Solutions Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Counseling Services for Wellbeing, Inc. Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Uvalde County Hospital Authority CurrentSince Nov 1, 2025 Accepting new patients
Uvalde County Hospital Authority Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

103 Old Hickory St
Chalmette, LA 70043
Phone (504) 300-6849

1901 Manhattan Blvd
Bldg D
Harvey, LA 70058
Phone (504) 372-6326

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570

1915 NE Stucki Ave
Ste 400
Hillsboro, OR 97006
Phone (844) 408-0014

5344 Alpha Rd
Dallas, TX 75240
Phone (214) 396-0259

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

15811 Ambaum Blvd SW
Ste 110
Burien, WA 98166
Phone (206) 242-8211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1679252027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD BLDG D",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583583",
            "telephone_number": "504-544-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 GRETNA BLVD STE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534995",
            "telephone_number": "504-544-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "832-667-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "DARRELL",
        "middle_name": "TARRELL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61661385",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "83048",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704435172",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1143578",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "321232",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP030665",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10027568",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11027857",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0102818-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "206593",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406045",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024189159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.