Tyler Thurman Yeagley, SUDCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12144 Issued in CA

Practice address

3020 I St
Sacramento, CA 95816-3841

Phone

(916) 860-1888

NPI assigned

Oct 7, 2021

Last updated

May 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Wellspace Health

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
  • NPI 1871617688
  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1598427551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "WALNUT GROVE",
            "state": "CA",
            "postal_code": "956900707",
            "telephone_number": "916-436-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 I ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163841",
            "telephone_number": "916-860-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGLEY",
        "first_name": "TYLER",
        "middle_name": "THURMAN",
        "credential": "SUDCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12144",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Elberto Ybarra
• Jennifer Ye
• Xiaojing Ye, M.D.
• Cathryn Amy Yeager
• Max Warren Yeagley
• Kelley A Yeargan, MFTI
• April Ann Yeargin, RN
• Amma Ataa Yeboah-Kankam
• Michael Yeboah, FNP-BC
• Steven Yeck

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.