Active NPI
Deanna Reyna
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1205524782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 139237
- Practice address
- 42 E Ashlan Ave
Fresno, CA 93704-3501 - Phone
- (951) 310-3683
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 139237 | CA | Primary |
Addresses
Primary practice location
42 E Ashlan Ave
Fresno, CA 93704-3501
Mailing address
42 E Ashlan Ave
Fresno, CA 93704-3501
Phone (951) 310-3683
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https:pm.officeally.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Feels Marriage and Family Therapy | Current | Accepting new patients | |
| Grow Healthcare Group PC | Mental Health | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 2
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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
dba Deep Feels Therapy
- Marriage & Family Therapist
- Fresno, CA
- NPI 1740144575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1205524782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937043501",
"telephone_number": "951-310-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937043501",
"telephone_number": "951-310-3683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "DEANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "139237",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https:pm.officeally.com",
"affiliation": "N",
"endpointDescription": "Office Ally Electronic Health Record System",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "other",
"address_1": "42 E Ashlan Ave",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937043501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.