DEITRA DEAN MCMAHON
NPI 1780204842
Counselor in Santa Cruz, CA
About Deitra Dean Mcmahon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEITRA DEAN MCMAHON (NPI 1780204842) is an individual counselor in Santa Cruz, California, licensed in California (ASW85759) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deitra Dean Mcmahon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Deitra Mcmahon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Cruz, CA 95060
- Reassigned Medicare billing, California enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Deitra Mcmahon's NPI number?
The NPI number for Deitra Mcmahon is 1780204842. It was assigned to this individual provider in the NPPES registry on April 19, 2020.
Where is Deitra Mcmahon located?
Deitra Mcmahon practices at 700 Frederick St Ste C, Santa Cruz, CA 95062. The listed phone number is (831) 996-1222.
What is Deitra Mcmahon's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Deitra Mcmahon enrolled in Medicare?
Yes. Deitra Mcmahon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Deitra Mcmahon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deitra Mcmahon reassigns Medicare benefits to Salud Para La Gente (Santa Cruz, CA). 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 Deitra Mcmahon'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 Deitra Mcmahon was last updated on April 19, 2020. 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.
# Deitra Dean Mcmahon · NPI 1780204842
Counselor provider in Santa Cruz, California. Individual provider, active in the CMS NPPES registry since April 19, 2020.
## Identity
- **NPI:** 1780204842 (Entity type: Individual)
- **Enumerated:** April 19, 2020
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** ASW85759 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 700 FREDERICK ST STE C, Santa Cruz, CA 95062-2239
- **Phone:** (831) 996-1222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Salud Para La Gente (NPI 1356540587, Santa Cruz, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1780204842) · Data from the CMS NPPES public registry.