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RENISA DEALVARENGA
NPI 1104464361
Counselor - Mental Health in Fall River, MA

Active since December 18, 2019PECOS EnrolledAccepts Medicare Assignment
170 PLEASANT ST, FALL RIVER, MA 02721(774) 294-5722 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Renisa Dealvarenga NPPES

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

RENISA DEALVARENGA (NPI 1104464361) is an individual mental health provider in Fall River, Massachusetts and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104464361
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENISA DEALVARENGA
Location Address170 PLEASANT STFall River, MA 02721-3015
Mailing Address170 Pleasant StFall River, MA 02721-3015 · (774) 294-5722
Phone(774) 294-5722
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 18, 2019
✔ NPI 1104464361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
170 PLEASANT ST, Fall River, MA 02721
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renisa Dealvarenga is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769924547
PECOS Enrollment IDI20240607002271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Renisa Dealvarenga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bay Coast Behavioral, LLC
Same address
Mental Health (Including Community Mental Health Center)
170 PLEASANT ST STE 100
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 12 clinicians in this Medicare group
NPI 1184963993 (774) 294-5722

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA SMITH
Counselor
170 PLEASANT ST, ROOM 100
FALL RIVER, MA 02721
Bristol County (774) 294-5722
RYAN COELHO
Behavior Analyst
170 PLEASANT ST, ROOM 100
FALL RIVER, MA 02721
Bristol County (774) 294-5722
SEAN SMITH
Counselor
170 PLEASANT ST
FALL RIVER, MA 02721
Bristol County (774) 294-5722
MATTHEW MILLMAN
Counselor (Mental Health)
170 PLEASANT ST
FALL RIVER, MA 02721
Bristol County (774) 294-5722
WINNY FONSECA
Counselor (Mental Health)
170 PLEASANT ST
FALL RIVER, MA 02721
Bristol County (742) 945-7227
LINETTE RIVERA
Behavior Technician
170 PLEASANT ST
FALL RIVER, MA 02721
Bristol County (774) 294-5722
CHRISTINE BENINCASA
Counselor (Mental Health)
170 PLEASANT ST
FALL RIVER, MA 02721
Bristol County (774) 294-5722
MS. LOUISE KLEJNA M.ED
Counselor
170 PLEASANT ST, ROOM 100
FALL RIVER, MA 02721
Bristol County (774) 294-5722

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 Renisa Dealvarenga's NPI number?

The NPI number for Renisa Dealvarenga is 1104464361. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Renisa Dealvarenga located?

Renisa Dealvarenga practices at 170 Pleasant St, Fall River, MA 02721. The listed phone number is (774) 294-5722.

What is Renisa Dealvarenga's specialty?

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

Is Renisa Dealvarenga enrolled in Medicare?

Yes. Renisa Dealvarenga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Renisa Dealvarenga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renisa Dealvarenga reassigns Medicare benefits to Bay Coast Behavioral, LLC (Fall River, MA). The 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 Renisa Dealvarenga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renisa Dealvarenga was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.