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: July 26, 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
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

Other Names 1

Former Name (1)Deidra Kostelac Lmft

Secondary Practice Location 1

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

Accepted Insurance

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

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.

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.

Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychiatry & Neurology (Psychiatry)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

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.

What insurance does Deidra Wells accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Deidra Wells 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 Deidra Wells was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.