Active NPI
Deanna Kelly Henry
- Marriage & Family Therapist
- Naples, FL
National Provider Identifier
1831920925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT4158
- Practice address
- 2345 Stanford CT Ste 601
Naples, FL 34112-4841 - Phone
- (239) 537-9646
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMT4158 | FL | Primary |
Addresses
Primary practice location
2345 Stanford CT Ste 601
Naples, FL 34112-4841
Mailing address
3520 8TH Ave SE
Naples, FL 34117-4586
Phone (714) 514-0449
Other practice location 1
11725 Collier Blvd Ste C
Naples, FL 34116-6524
Phone (239) 880-2074
Other practice location 2
3520 8th Ave SE
Naples, FL 34117-4586
Phone (714) 514-0449
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT4158 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Treatment Team LLC | Past | 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.
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- NPI 1053858316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1831920925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 8TH AVE SE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341174586",
"telephone_number": "714-514-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 STANFORD CT STE 601",
"city": "NAPLES",
"state": "FL",
"postal_code": "341124841",
"telephone_number": "239-537-9646"
}
],
"practiceLocations": [
{
"address_1": "11725 Collier Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341166524",
"country_code": "US",
"telephone_number": "239-880-2074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3520 8th Ave SE",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341174586",
"country_code": "US",
"telephone_number": "714-514-0449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "DEANNA",
"middle_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT4158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.