Deanna Fonstein Menchaca, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI4275 Issued in NV

Practice address

8945 W Russell Rd Ste 110
Las Vegas, NV 89148-1225

Phone

(702) 476-9294

Fax

(702) 442-9538

NPI assigned

Dec 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Genesis New Beginnings LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1144850736
  NPD
• Genesis New Beginnings LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1760213177
  NPD
• Mental Health Systems Success First

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1275064180
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1992989982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481225",
            "telephone_number": "702-476-9294",
            "fax_number": "702-442-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481225",
            "telephone_number": "702-476-9294",
            "fax_number": "702-442-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHACA",
        "first_name": "DEANNA",
        "middle_name": "FONSTEIN",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF93885",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2022-0240",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Mena
• Marlene Mena
• Kathleen A Menasche, C.N.M.
• Laura Isela Menchaca Ortiz
• Angelica Menchaca
• Trevet Menchaca
• Duchess Menchavez, OTR/L
• Tsige Menchel
• Mariela De Los Angeles Menchero
• Jennifer Y Mencos, BS

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.