Renisa Dealvarenga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

170 Pleasant St
Fall River, MA 02721-3015

Phone

(774) 294-5722

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bay Coast Behavioral LLCGroup PAC ID 2365888575, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Coast Behavioral, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fall River, MA
  • NPI 1184963993
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1104464361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "774-294-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "774-294-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALVARENGA",
        "first_name": "RENISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Dawes
• Melissa Barbosa Dawson, LICSW
• Antonio M. De Melo, DPM
• Brucysllandher Gomes De Sa, NP
• Alicia Marie Dealmeida
• Casey Mae Dean
• Kolleen M Deandrade, PA-C
• Denissa Correia Debarros
• Deborah a. Moses, D.D.S., Inc.
• Stephanie Zuleica Deburgo

• Mental Health Counselor in Fall River, MA
• Providers in Fall River, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.