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TRACY LEANN BOASE AMFT-126136
NPI 1154092559
Marriage & Family Therapist in Pomona, CA

Active since September 24, 2021PECOS EnrolledAccepts Medicare Assignment
2008 N GAREY AVE, POMONA, CA 91767(909) 784-3029 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2022, Mar 7, 2022, Sep 24, 2021 (3 updates tracked since 2021).

About Tracy Leann Boase Amft-126136 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY LEANN BOASE AMFT-126136 (NPI 1154092559) is an individual marriage & family therapist in Pomona, California, licensed in California (126136) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Upland, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154092559
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTRACY LEANN BOASECredential: AMFT-126136
Location Address2008 N GAREY AVEPomona, CA 91767-2722
Mailing Address2008 N Garey AvePomona, CA 91767-2722 · (909) 784-3029
Phone(909) 784-3029
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 24, 2021
Last NPPES UpdateMay 20, 20223 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1154092559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 126136
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 126136 (CA)
2008 N GAREY AVE, Pomona, CA 91767
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Secondary Practice Location 1

Location 11444 E 13th StUpland, CA 91786-2801 · Phone (909) 269-2727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy Leann Boase Amft-126136 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325572449
PECOS Enrollment IDI20241112004314
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA CAROLINA OUSTAD
Rehabilitation Practitioner
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 784-3236
KWONTA PHATIPHONG
Marriage & Family Therapist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ADDISON HAWTHORNE
Social Worker (Clinical)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
DR. CARLOS A MURALLES M.D.
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KIRANDEEP SANDHU
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KRISTI ROMERO
Peer Specialist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
SAMANTHA RITA KOEMANS
Student in an Organized Health Care Education/Training Program
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ROBERT PAUL HIJAR
Community Health Worker
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 539-7729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Boase's NPI number?

The NPI number for Tracy Boase is 1154092559. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Tracy Boase located?

Tracy Boase practices at 2008 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 784-3029.

What is Tracy Boase's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tracy Boase enrolled in Medicare?

Yes. Tracy Boase is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tracy Boase was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.