Individual provider Active NPI

Deanna Reyna

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1205524782
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
139237 Issued in CA
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

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725000913 CA Practitioner - Marriage and Family Therapist 4587171509 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Feels Marriage and Family Therapy CurrentSince Dec 21, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Jun 6, 2025 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.

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

Verify at the official NPI Registry.