Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kimberly J Youngblood, LICDC, ICDAC

Individual provider Mental Health Counselor · NPI 1043517451

Dr. Kimberly J Youngblood, LICDC, ICDAC is a Mental Health Counselor in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2011
Specialties on file
2

Practice location Address checks out

690 Northland Blvd
Cincinnati, OH 45240-3214
Phone: (513) 549-2681
Fax: (513) 445-8286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 081242 (OH)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1043517451
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC , ICDAC
Sole proprietorYes
NPI enumeratedFebruary 21, 2011
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

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