Tyrecce Terrell Redic, RAD-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RT1450950726 Issued in CA

Practice address

11646 Encanto LN
Colton, CA 92324-9218

Phone

(909) 222-4073

NPI assigned

Aug 13, 2026

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Colton, CA
  • NPI 1831924174
  NPD (past)
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Claremont, CA
  • NPI 1952885139
  NPD (past)

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1861317174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 GENEVIEVE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053510",
            "telephone_number": "909-476-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11646 ENCANTO LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249218",
            "telephone_number": "909-222-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDIC",
        "first_name": "TYRECCE",
        "middle_name": "TERRELL",
        "credential": "RAD-T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RT1450950726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aladino Razo, MD
• Terrance Deamour Reason
• Reche Canyon Rehabilitation (Reche Canyon Convalescent Ctr)
• Bruce Anthony Reddix, M.D.
• Vijay Reddy, MD
• Ashjanae Nicole Reed
• Christopher Ryann Reed
• Graeme Anthony Reed, M.D.
• Alexandra Nicole Rees, PA-C
• Jazmin Regalado

• Addiction (Substance Use Disorder) Counselor in Colton, CA
• Providers in Colton, 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 Aug 13, 2026; 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.