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DEIDRA R WELLS LMFT
NPI 1639696610
Marriage & Family Therapist in Rancho Cucamonga, CA

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
8253 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730(442) 327-9311(442) 327-9311 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2020, Jan 31, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Deidra R Wells Lmft NPPES

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

DEIDRA R WELLS LMFT (NPI 1639696610) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (119415) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fontana, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1639696610
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDEIDRA R WELLSCredential: LMFT
Location Address8253 WHITE OAK AVERancho Cucamonga, CA 91730-7671
Mailing Address8253 White Oak AveRancho Cucamonga, CA 91730-7671 · (760) 953-7625
Phone(442) 327-9311
Fax(442) 327-9311
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2017
Last NPPES UpdateMarch 25, 20224 updates tracked since enumeration
NPPES CertifiedMarch 25, 2022
✔ NPI 1639696610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 119415✔ Licensed in CA · 72411
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.
8253 WHITE OAK AVE, Rancho Cucamonga, CA 91730
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Other Names 1

Former Name (1)Deidra Kostelac Lmft

Secondary Practice Location 1

Location 114677 Merrill AveFontana, CA 92335-9233 · Phone (951) 943-2348

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

Deidra R Wells 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 ID3577916667
PECOS Enrollment IDI20240124004638
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 Reassignments

3

Medicare enrollment records show Deidra Wells reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

High Desert Psychological Services
31 mi
Psychologist
15497 W SAND ST
Victorville, CA 92392
  • Reassigned Medicare billing, California enrollment
  • 124 clinicians in this Medicare group
NPI 1104463371 (442) 327-9311
Grow Healthcare Group PC
330 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
2,300 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

ONE ASTERISK CONSULTING, INC
Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (951) 255-3539
MRS. CARLA MARIE DAVIDSON LCSW
Social Worker (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
DR. JERRY M GOFFMAN PHD.
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (951) 312-1041
DR. MAURA KANE MCAULIFFE PSY.D.
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
SOFIA FIROZ M.D.,INC
Psychiatry & Neurology (Psychiatry)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
GEORGINA LAMPHERE PHD
Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
DR. CHRISTOPHER ROBIN DEULEN PH.D
Psychologist (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (090) 987-1997
DR. TRACY CHOVANEC PSY.D.
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 285-4725

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 Deidra Wells's NPI number?

The NPI number for Deidra Wells is 1639696610. It was assigned to this individual provider in the NPPES registry on August 29, 2017. The provider is also known as Deidra Kostelac Lmft.

Where is Deidra Wells located?

Deidra Wells practices at 8253 White Oak Ave, Rancho Cucamonga, CA 91730. The listed phone number is (442) 327-9311.

What is Deidra Wells's specialty?

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

Is Deidra Wells enrolled in Medicare?

Yes. Deidra Wells 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 organizations bill Medicare for Deidra Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deidra Wells reassigns Medicare benefits to 3 organizations: High Desert Psychological Services (Victorville, CA), Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). Each 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 Deidra Wells'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 Deidra Wells was last updated on March 25, 2022. 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.