Active NPI
Tracie Michelle Yonkman
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1073828331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98664
- Practice address
- 1255 W Colton Ave Ste 122
Redlands, CA 92374-2861 - Phone
- (909) 991-6222
- NPI assigned
- Aug 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 98664 | CA | Primary |
Addresses
Primary practice location
1255 W Colton Ave Ste 122
Redlands, CA 92374-2861
Mailing address
1255 W Colton Ave Ste 122
Redlands, CA 92374-2861
Phone (909) 441-1841
Other practice location 1
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 398-4383 ext. 2368
Other names 1
- Miss Tracie Michelle Gossett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98664 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Insight Family Counseling, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Redlands, CA
- NPI 1417572405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1073828331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 W COLTON AVE STE 122",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742861",
"telephone_number": "909-441-1841",
"fax_number": "909-363-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W COLTON AVE STE 122",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742861",
"telephone_number": "909-991-6222"
}
],
"practiceLocations": [
{
"address_1": "831 E Arrow Hwy",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672535",
"country_code": "US",
"telephone_number": "909-398-4383 x2368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YONKMAN",
"first_name": "TRACIE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACIE",
"last_name": "GOSSETT",
"middle_name": "MICHELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.