Individual provider Active NPI

Yvette Victoria Flanagan, LPCC

  • Professional Counselor
  • Beaumont, CA
National Provider Identifier
1336549401
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13934 Issued in CA
Practice address
14700 Manzanita Park Rd, Beaumont, Ca 9223
Beaumont, CA 92223-7233
Phone
(518) 453-1559
NPI assigned
Aug 26, 2014
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6857 CA
Professional Counselor 101YP2500X 13934 CA Primary

Addresses

Primary practice location

14700 Manzanita Park Rd, Beaumont, Ca 9223
Beaumont, CA 92223-7233

Mailing address

14700 Manzanita Park Rd, Beaumont, Ca 9223
Beaumont, CA 92223-7233
Phone (518) 453-1559

Other practice location 1

3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 482-2244

Other practice location 2

11519 Carlisle Pl
Rancho Cucamonga, CA 91730-7233
Phone (909) 972-0992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513000224 CA Practitioner - Mental Health Counselor 4981121076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6857CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Mar 6, 2025 Accepting new patients
Tender Loving Care Home for Boys, Inc PastSince Sep 1, 2019 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1336549401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 MANZANITA PARK RD, BEAUMONT, CA 9223",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237233",
            "telephone_number": "518-453-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 MANZANITA PARK RD, BEAUMONT, CA 9223",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237233",
            "telephone_number": "518-453-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Coolidge Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023311",
            "country_code": "US",
            "telephone_number": "510-482-2244",
            "fax_number": "510-530-2047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11519 Carlisle Pl",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307233",
            "country_code": "US",
            "telephone_number": "909-972-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "YVETTE",
        "middle_name": "VICTORIA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "6857",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

Verify at the official NPI Registry.