JACQUELINE MARIE DERAS
NPI 1316182488
Marriage & Family Therapist in Covina, CA

Q: What is Jacqueline Deras's NPI number?

The NPI number for Jacqueline Deras is 1316182488. It was assigned to this individual provider in the NPPES registry on December 3, 2008.

Q: What is Jacqueline Deras's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Deras was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 03, 2008PECOS Enrolled

4740 N GRAND AVE, COVINA, CA 91724(626) 859-2089(626) 859-6537 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2021, Feb 8, 2017 (2 updates tracked since 2017).

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About Jacqueline Marie Deras NPPES

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

JACQUELINE MARIE DERAS (NPI 1316182488) is an individual marriage & family therapist in Covina, California, licensed in California (91426) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316182488

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACQUELINE MARIE DERAS

Location Address4740 N GRAND AVECovina, CA 91724

Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-6440

Phone(626) 859-2089

Fax(626) 859-6537

Sole ProprietorNo

Enumeration DateDecember 3, 2008

Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration

NPPES CertifiedNovember 24, 2021

✔ NPI 1316182488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 91426

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4740 N GRAND AVE, Covina, CA 91724

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Marie Deras is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MARY ELLEN TANNER LCSW

Social Worker (Clinical)