JEANETTA LATRICE YOUNG-YEBOAH
NPI 1629873732
Marriage & Family Therapist in San Bernardino, CA

Active since February 14, 2025PECOS Enrolled
1845 BUSINESS CENTER DR STE 215, SAN BERNARDINO, CA 92408(909) 562-5571 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Feb 14, 2025 (2 updates tracked since 2025).

About Jeanetta Latrice Young-yeboah NPPES

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

JEANETTA LATRICE YOUNG-YEBOAH (NPI 1629873732) is an individual marriage & family therapist in San Bernardino, California, licensed in California (159193) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629873732
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJEANETTA LATRICE YOUNG-YEBOAH
Location Address1845 BUSINESS CENTER DR STE 215San Bernardino, CA 92408-3447
Mailing Address6941 Orozco DrRiverside, CA 92506-5583 · (909) 562-5571
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 14, 2025
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1629873732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 159193
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.

1845 BUSINESS CENTER DR STE 215, San Bernardino, CA 92408

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeanetta Latrice Young-yeboah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800371733
PECOS Enrollment IDI20260330001528
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

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

Marriage & Family Therapist
1845 BUSINESS CENTER DR STE 215
SAN BERNARDINO, CA 92408

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 Jeanetta Young-yeboah's NPI number?

The NPI number for Jeanetta Young-yeboah is 1629873732. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Jeanetta Young-yeboah located?

Jeanetta Young-yeboah practices at 1845 Business Center Dr Ste 215, San Bernardino, CA 92408. The listed phone number is (909) 562-5571.

What is Jeanetta Young-yeboah's specialty?

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

Is Jeanetta Young-yeboah enrolled in Medicare?

Yes. Jeanetta Young-yeboah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanetta Young-yeboah was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.