Traci Colleen Mohler, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

137482 Issued in CA

Practice address

11921 Stovall Way
Yucaipa, CA 92399-3485

Phone

(951) 258-4357

NPI assigned

Feb 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Traci Colleen Merritt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1083310148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 STOVALL WAY",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993485",
            "telephone_number": "951-258-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 STOVALL WAY",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993485",
            "telephone_number": "951-258-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHLER",
        "first_name": "TRACI",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "MERRITT",
            "middle_name": "COLLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven A Miller, O.D.
• Bonnie Kay Mills, LCSW
• Marielena Miranda
• Alexander Mogensen
• Thomas Keith Mogensen, M.D.
• Florin Gabriel Moldovan, PHARMD
• Gabriel Molina, NP
• Wendy Montgomery
• Taneice Monae Mooney
• Samuel Evan Moore, M.S.

• Marriage & Family Therapist in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.