Deanna Maria Deleon, LPCC
Individual provider Active NPI Mental Health Counselor · Mt Shasta, CA
NPI 1750889374 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1750889374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPCC8360 (CA)
- Practice address
- 1005 Ream Avenue
Mt Shasta, CA 96067 - Phone
- (530) 423-5044
- Fax
- (530) 440-7910
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC8360 | CA | MD | Mental Health Counselor |
| PCCI4706 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strawberry Valley Counseling Services | Mental Health | Current |
Accepting new patients |
| Remi Vista, Inc. | Past | Accepting new patients |
Locations
1005 Ream Ave
Mount Shasta, CA 96067
Phone (530) 423-5044
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e917cccf-ef86-42c5-a988-a3b636c7a1c6/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PCCI4706 | CA | |
| Mental Health Counselor | 101YM0800X | LPCC8360 | CA | Yes |
Addresses
Primary practice location
1005 Ream Avenue
Mt Shasta, CA 96067
Mailing address
P.O. Box 1043
1005 Ream Avenue
Mt Shasta, CA 96067
Phone (530) 423-5044
Other providers in Mt Shasta, CA
- Lynn Ngoc Dao
- Sara Davis
- Ana Lisa De la Fuente
- Deborah Ann Higer
- Ashley Denise Delaney
- Dignity Health
- Dignity Health
- Dignity Health
- Dignity Health
- Dignity Health
All providers in Mt Shasta, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.