Active NPI
Yetunde Keme
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1508424938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT138739
- Practice address
- 572 N Arrowhead Ave
San Bernardino, CA 92401-1251 - Phone
- (909) 266-2770
- NPI assigned
- May 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 138739 | CA | |
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT138739 | CA | Primary |
Addresses
Primary practice location
572 N Arrowhead Ave
San Bernardino, CA 92401-1251
Mailing address
572 N Arrowhead Ave
San Bernardino, CA 92401-1251
Phone (909) 266-2770
Other practice location 1
22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone (530) 528-2342
Other practice location 2
22445 Alessandro Blvd Ste 113-114
Moreno Valley, CA 92553-8358
Phone (951) 924-9791
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 |
|---|---|---|---|
| 138739 | CA | MD | Mental Health Counselor |
| AMFT138739 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Solutions for Kids & Families | Past | 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.
-
- Foster Care Agency
- Riverside, CA
- NPI 1851889828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1508424938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 N ARROWHEAD AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011251",
"telephone_number": "909-266-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 N ARROWHEAD AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011251",
"telephone_number": "909-266-2770"
}
],
"practiceLocations": [
{
"address_1": "22425 Sunbright Ave",
"address_purpose": "LOCATION",
"city": "Red Bluff",
"state": "CA",
"postal_code": "960809741",
"country_code": "US",
"telephone_number": "530-528-2342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22445 Alessandro Blvd Ste 113-114",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925538358",
"country_code": "US",
"telephone_number": "951-924-9791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEME",
"first_name": "YETUNDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "138739",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT138739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.