Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Leann Boase, AMFT-126136

Individual provider Mental Health Counselor · NPI 1154092559

Tracy Leann Boase, AMFT-126136 is a Marriage and Family Therapist in Pomona, California. Qualified in 2021, 5 years ago. Practices with Tri-City Mental Health Authority, a 13-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2008 N Garey Ave
Pomona, CA 91767-2722
Phone: (909) 784-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1444 E 13th St, Upland, CA 91786-2801 — (909) 269-2727

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 126136 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 126136 (CA)

Record details

NPI number1154092559
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT-126136
Sole proprietorYes
NPI enumeratedSeptember 24, 2021
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tri-City Mental Health Authority — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pomona