MRS. RAECHELE KENYON-DIAZ LMFT
NPI 1477093672
Counselor - Mental Health in Redding, CA

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment
15200 LA PALOMA WAY, REDDING, CA 96001(530) 440-2135 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Raechele Kenyon-diaz Lmft NPPES

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

MRS. RAECHELE KENYON-DIAZ LMFT (NPI 1477093672) is an individual mental health provider in Redding, California, licensed in California (140052) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477093672
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. RAECHELE KENYON-DIAZCredential: LMFT
Location Address15200 LA PALOMA WAYRedding, CA 96001-9525
Mailing Address15200 La Paloma WayRedding, CA 96001-9525 · (530) 440-2135
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 7, 2017
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedApril 19, 2022
NPI 1477093672 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
License Licensed in CA · 140052
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License VN256371 (CA)
15200 LA PALOMA WAY, Redding, CA 96001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Raechele Kenyon-diaz Lmft 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 ID7113365024
PECOS Enrollment IDI20240410002414
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

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

Physical Therapy Assistant
15200 LA PALOMA WAY
REDDING, CA 96001

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 Raechele Kenyon-diaz's NPI number?

The NPI number for Raechele Kenyon-diaz is 1477093672. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Raechele Kenyon-diaz located?

Raechele Kenyon-diaz practices at 15200 La Paloma Way, Redding, CA 96001. The listed phone number is (530) 440-2135.

What is Raechele Kenyon-diaz's specialty?

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

Is Raechele Kenyon-diaz enrolled in Medicare?

Yes. Raechele Kenyon-diaz 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.

When was this NPI record last updated?

The NPPES record for Raechele Kenyon-diaz was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.