Deep Dive Individual and Family Counseling Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEEP DIVE INDIVIDUAL AND FAMILY COUNSELING SERVICES PLLC

Practice address

909 NE Loop 410 Ste 634
San Antonio, TX 78209-1309

Phone

(210) 643-4058

Fax

(866) 544-0326

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Shenna Dominique Fisher, LCSW-SNPI 1295227304

Title

LCSW/Owner

Phone

(210) 643-4058

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shenna Dominique Fisher, LCSW-S

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1295227304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1003445818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BABCOCK RD APT 7304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401890",
            "telephone_number": "210-643-4058",
            "fax_number": "866-544-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 NE LOOP 410 STE 634",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091309",
            "telephone_number": "210-643-4058",
            "fax_number": "866-544-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP DIVE INDIVIDUAL AND FAMILY COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SHENNA",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "210-643-4058",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1F6319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Dee, APRN-C
• Christina Elaine Deehl, MS, RD, LDN
• Ali Deem, LPC
• Dustin Eugene Deemer, P.A.-C
• Nafis Deen, DO
• Anthony Michael Deep, M.D.
• Deer Oaks Arkansas, LLC
• Deer Oaks Geriatric Services P C
• Deer Oaks Geriatric Services P C
• Deer Oaks Mid-West LLC

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.