Individual provider Active NPI

Rachel Dehlan, MA, LMFT

  • Marriage & Family Therapist
  • Madera, CA
National Provider Identifier
1609917343
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119113 Issued in CA
Practice address
4595 Silverado Rd
Madera, CA 93636-8052
Phone
(559) 408-0017
NPI assigned
Feb 8, 2007
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 119113 CA Primary

Addresses

Primary practice location

4595 Silverado Rd
Madera, CA 93636-8052

Mailing address

4595 Silverado Rd
Madera, CA 93636-8052
Phone (559) 408-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
119113CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Pacific University Dba Pacific Counseling Center Marriage & Family Therapist PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1609917343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 SILVERADO RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368052",
            "telephone_number": "559-408-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 SILVERADO RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368052",
            "telephone_number": "559-408-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHLAN",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.