Active NPI
Deonne Zena McLean, MS, LMFT
- Marriage & Family Therapist
- Truckee, CA
National Provider Identifier
1770133639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130858
- Practice address
- 10775 Pioneer TRL Ste 215
Truckee, CA 96161-0234 - Phone
- (415) 424-4266
- Fax
- (415) 520-6633
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 127102 | IA | |
| Marriage & Family Therapist | 106H00000X | 130858 | CA | Primary |
Addresses
Primary practice location
10775 Pioneer TRL Ste 215
Truckee, CA 96161-0234
Mailing address
8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266
Other practice location 1
699 Walnut St Ste 400
Des Moines, IA 50309-3962
Phone (415) 424-4266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100396665 | Medicaid | CA |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130858 | CA | MD | Marriage & Family Therapist |
| 127102 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Group Homes Inc. | Past | Accepting new patients | |
| Heritage Group Homes, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1346804432
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- West Covina, CA
- NPI 1396297172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1770133639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 ESTERS BLVD STE 900",
"city": "IRVING",
"state": "TX",
"postal_code": "750632233",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10775 PIONEER TRL STE 215",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610234",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
}
],
"practiceLocations": [
{
"address_1": "699 Walnut St Ste 400",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093962",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "DEONNE",
"middle_name": "ZENA",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "127102",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100396665",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.