Individual provider Active NPI

Tanya Lynne Youngblood, MFT

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1548486285
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43221 Issued in CA
Practice address
980 W 6TH St Ste 126
Ontario, CA 91762-1208
Phone
(909) 229-1328
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 43221 CA Primary

Addresses

Primary practice location

980 W 6TH St Ste 126
Ontario, CA 91762-1208

Mailing address

8847 Jacaranda Unit D
Montclair, CA 91763-1358
Phone (909) 229-1328

Other names 1

  • Tanya Lynne Turner Other name

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

LicenseStateTypeSpecialty
43221CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya Turner, LMFT LLC Marriage & Family Therapist CurrentSince Mar 17, 2024 Accepting new patients

Locations

980 W 6th St
Ste 126
Ontario, CA 91762
Phone (909) 229-1328

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1548486285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 JACARANDA UNIT D",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631358",
            "telephone_number": "909-229-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W 6TH ST STE 126",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621208",
            "telephone_number": "909-229-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "TANYA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "TURNER",
            "middle_name": "LYNNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.