Deep Dive Individual and Family Counseling Services PLLC
NPI 1003445818ActiveOrganization· Counselor, Mental Health· San Antonio, TX
Counselor, Mental Health in San Antonio, Texas, registered in NPPES in April 2020. The authorized official on file is Shenna Dominique Fisher, LCSW-S, Lcsw/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003445818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2020 |
| Last updated in NPPES | Jul 27, 2026 |
| Certified by provider | Jul 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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All 884 mental health counselors in San Antonio · All mental health counselors in Texas