DEEP DIVE INDIVIDUAL AND FAMILY COUNSELING SERVICES PLLC
NPI 1003445818
Counselor - Mental Health in San Antonio, TX

Active since April 03, 2020
909 NE LOOP 410 STE 634, SAN ANTONIO, TX 78209(210) 643-4058(866) 544-0326 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Feb 11, 2023, Apr 3, 2020 (3 updates tracked since 2020).

About Deep Dive Individual And Family Counseling Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEP DIVE INDIVIDUAL AND FAMILY COUNSELING SERVICES PLLC (NPI 1003445818) is a healthcare organization registered as a mental health in San Antonio, Texas and active in the NPI registry since April 2020. The organization lists Shenna Dominique Fisher, Lcsw/owner, as its authorized official.

NPPES Registry Identity

NPI1003445818
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDEEP DIVE INDIVIDUAL AND FAMILY COUNSELING SERVICES PLLC
Location Address909 NE LOOP 410 STE 634San Antonio, TX 78209-1309
Mailing Address5600 Babcock Rd Apt 7304San Antonio, TX 78240-1890 · (210) 643-4058 · Fax (866) 544-0326
Fax(866) 544-0326
Organization SubpartNo
Authorized OfficialShenna Dominique FisherLcsw/owner · (210) 643-4058
Enumeration DateApril 3, 2020
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1003445818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
909 NE LOOP 410 STE 634, San Antonio, TX 78209

Other Identifiers 1

Medicaid1F6319TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deep Dive Individual And Family Counseling Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deep Dive Individual And Family Counseling Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1295227304
909 NE LOOP 410 STE 634
San Antonio, TX 78209
(210) 643-4058
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deep Dive Individual And Family Counseling Services PLLC's NPI number?

The NPI number for Deep Dive Individual And Family Counseling Services PLLC is 1003445818. It was assigned to this organization in the NPPES registry on April 3, 2020.

Where is Deep Dive Individual And Family Counseling Services PLLC located?

Deep Dive Individual And Family Counseling Services PLLC is located at 909 NE Loop 410 Ste 634, San Antonio, TX 78209. The listed phone number is (210) 643-4058.

What is Deep Dive Individual And Family Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Deep Dive Individual And Family Counseling Services PLLC enrolled in Medicare?

Yes. Deep Dive Individual And Family Counseling Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deep Dive Individual And Family Counseling Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Deep Dive Individual And Family Counseling Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deep Dive Individual And Family Counseling Services PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Deep Dive Individual And Family Counseling Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deep Dive Individual And Family Counseling Services PLLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.