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

Stacy Youngblood, MS

Individual provider Counselor · NPI 1942554076

Stacy Youngblood, MS is a Marriage and Family Therapist in Henderson, Nevada. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
15
Licensed in
NV
In the registry since
2012
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

503 Broken Shale Cir
Henderson, NV 89052-2890
Phone: (702) 241-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4263 (NV)
Counselor Taxonomy 101Y00000X · Licence MI0358 (NV)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MI0358 (NV)

Record details

NPI number1942554076
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedOctober 26, 2012
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address503 Broken Shale Cir, Henderson, NV 89052-2890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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