JEANETTA LATRICE YOUNG-YEBOAH
NPI 1629873732
Marriage & Family Therapist in San Bernardino, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanetta Latrice Young-yeboah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanetta Young-yeboah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Jeanetta Young-yeboah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanetta Young-yeboah reassigns Medicare benefits to Yeboah Marriage & Family Therapy Inc (Redlands, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanetta Young-yeboah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeanetta Young-yeboah was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Jeanetta Latrice Young-Yeboah · NPI 1629873732
Marriage & Family Therapist provider in San Bernardino, California. Individual provider, active in the CMS NPPES registry since February 14, 2025.
## Identity
- **NPI:** 1629873732 (Entity type: Individual)
- **Enumerated:** February 14, 2025
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 159193 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1845 BUSINESS CENTER DR STE 215, San Bernardino, CA 92408-3447
- **Phone:** (909) 562-5571
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Yeboah Marriage & Family Therapy Inc (NPI 1669342713, Redlands, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629873732) · Data from the CMS NPPES public registry.