STACY YOUNGBLOOD M.S.
NPI 1942554076
Marriage & Family Therapist in Henderson, NV

Q: What is Stacy Youngblood's NPI number?

The NPI number for Stacy Youngblood is 1942554076. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Q: What is Stacy Youngblood's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Youngblood was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2012PECOS EnrolledAccepts Medicare Assignment

503 BROKEN SHALE CIR, HENDERSON, NV 89052(702) 241-7166 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacy Youngblood M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY YOUNGBLOOD M.S. (NPI 1942554076) is an individual marriage & family therapist in Henderson, Nevada, licensed in Nevada (4263) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1942554076

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTACY YOUNGBLOODCredential: M.S.

Location Address503 BROKEN SHALE CIRHenderson, NV 89052-2890

Mailing Address503 Broken Shale CirHenderson, NV 89052-2890

Phone(702) 241-7166

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 26, 2012

Last NPPES UpdateAugust 24, 2022

NPPES CertifiedAugust 24, 2022

✔ NPI 1942554076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in NV · 4263✔ Licensed in NV · MI0358

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselorTaxonomy 101Y00000X · License MI0358 (NV)

503 BROKEN SHALE CIR, Henderson, NV 89052

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Youngblood M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557840618

PECOS Enrollment IDI20260209003026

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Youngblood's NPI number?

The NPI number for Stacy Youngblood is 1942554076. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Where is Stacy Youngblood located?

Stacy Youngblood practices at 503 Broken Shale Cir, Henderson, NV 89052. The listed phone number is (702) 241-7166.

What is Stacy Youngblood's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Stacy Youngblood enrolled in Medicare?

Yes. Stacy Youngblood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacy Youngblood was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.