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DEANA MEDINA
NPI 1801307830
Marriage & Family Therapist in Port Hueneme, CA

Active since October 17, 2017Opted out of Medicare · through Oct 9, 2027
720 SAN PEDRO ST, PORT HUENEME, CA 93041(805) 284-1536(310) 945-3356 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Oct 17, 2017 (2 updates tracked since 2017).

About Deana Medina NPPES

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

DEANA MEDINA (NPI 1801307830) is an individual marriage & family therapist in Port Hueneme, California, licensed in California (144292) and active in the NPI registry since October 2017. She has opted out of Medicare through October 9, 2027.

NPPES Registry Identity

NPI1801307830
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDEANA MEDINA
Location Address720 SAN PEDRO STPort Hueneme, CA 93041-2703
Mailing Address9808 Venice Blvd Ste 505Culver City, CA 90232-6818 · (310) 237-0461 · Fax (310) 945-3356
Phone(805) 284-1536
Fax(310) 945-3356
Sole ProprietorYes
Enumeration DateOctober 17, 2017
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1801307830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 144292
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
720 SAN PEDRO ST, Port Hueneme, CA 93041
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Deana Medina has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 9, 2025 through October 9, 2027.

Opt-Out Effective DateOctober 9, 2025
Opt-Out In Effect ThroughOctober 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Deana Medina's NPI number?

The NPI number for Deana Medina is 1801307830. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Deana Medina located?

Deana Medina practices at 720 San Pedro St, Port Hueneme, CA 93041. The listed phone number is (805) 284-1536.

What is Deana Medina's specialty?

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

Is Deana Medina enrolled in Medicare?

No. Deana Medina has opted out of Medicare through October 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Deana Medina was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.