Individual provider Active NPI

Kiana Domenik-Alexis Diniz, LMFT

  • Marriage & Family Therapist
  • Modesto, CA
National Provider Identifier
1699326850
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
164576 Issued in CA
Practice address
800 Coffee Rd
Modesto, CA 95355-4233
Phone
(209) 554-6808
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 164576 CA Primary

Addresses

Primary practice location

800 Coffee Rd
Modesto, CA 95355-4233

Mailing address

800 Coffee Rd
Modesto, CA 95355-4233
Phone (209) 554-6808

Other practice location 1

5222 Pirrone Ct Ste 101A
Salida, CA 95368-9072
Phone (925) 282-1778

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Child, Adolescent and Family Counseling Inc Marriage & Family Therapist CurrentSince Mar 20, 2025 Accepting new patients
Aspiranet PastSince Dec 1, 2021 Accepting new patients
Steps Therapy Inc PastSince Sep 1, 2019 Accepting new patients

Locations

800 Coffee Rd
Modesto, CA 95355
Phone (209) 554-6808

Organizations & group practices 3

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1699326850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554233",
            "telephone_number": "209-554-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554233",
            "telephone_number": "209-554-6808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5222 Pirrone Ct Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Salida",
            "state": "CA",
            "postal_code": "953689072",
            "country_code": "US",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINIZ",
        "first_name": "KIANA",
        "middle_name": "DOMENIK-ALEXIS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.