RENISA DEALVARENGA – Mental Health Counselor, NPI 1104464361

RENISA DEALVARENGA is a healthcare provider. based in Fall river, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for RENISA DEALVARENGA is 1104464361

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
RENISA DEALVARENGA
NPI
1104464361
Phone
(774) 294-5722
Address
170 PLEASANT ST
Enumeration Date
18 December 2019
Last Update Date
18 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7742945722
Graduation Year
2021 (5 years ago)
PAC ID
2769924547
Group Practice PAC ID
2365888575
Professional Enrollment ID
I20240607002271
Address ID
MA027213015FA170XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for RENISA DEALVARENGA

  • 170 PLEASANT ST

    FALL RIVER, MA 027213015

    Phone: (774) 294-5722

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240607002271IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02721)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365888575View full group profile
NameSpecialtyState
Clinical Social WorkerRI
Mental Health CounselorMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What number should I use to identify RENISA DEALVARENGA for billing?
Administrative and clinical systems typically use NPI 1104464361 for RENISA DEALVARENGA.
Is RENISA DEALVARENGA currently accepting referrals based on NPI status?
Registry metadata lists RENISA DEALVARENGA as active.
What type of care does RENISA DEALVARENGA provide?
RENISA DEALVARENGA's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is RENISA DEALVARENGA tied to Fall River, Massachusetts?
If you are local to Fall River, Massachusetts, RENISA DEALVARENGA may be relevant to your search.
Who maintains RENISA DEALVARENGA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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