MS. DIANE MCCULLOUGH
NPI 1033497060
Marriage & Family Therapist in Oakland, CA

Active since July 25, 2011PECOS Enrolled
2540 CHARLESTON ST, OAKLAND, CA 94602(510) 531-7551 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Diane Mccullough NPPES

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

MS. DIANE MCCULLOUGH (NPI 1033497060) is an individual marriage & family therapist in Oakland, California, licensed in California (LMFT90963) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1033497060
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. DIANE MCCULLOUGH
Location Address2540 CHARLESTON STOakland, CA 94602-2508
Mailing Address303 Van Buren AveOakland, CA 94610-4340
Sole ProprietorNo
Enumeration DateJuly 25, 2011
Last NPPES UpdateMay 18, 2021
NPPES CertifiedMay 18, 2021
NPI 1033497060 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 · LMFT90963
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 ListedCounselorTaxonomy 101Y00000X
2540 CHARLESTON ST, Oakland, CA 94602

Secondary Practice Location 1

Location 13800 Coolidge AveOakland, CA 94602-3311 · Phone (510) 506-3044

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Diane Mccullough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Counselor
2540 CHARLESTON ST
OAKLAND, CA 94602
Social Worker (Clinical)
2540 CHARLESTON ST
OAKLAND, CA 94602
Day Training/Habilitation Specialist
2540 CHARLESTON ST
OAKLAND, CA 94602
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Student in an Organized Health Care Education/Training Program
2540 CHARLESTON ST
OAKLAND, CA 94602
Social Worker
2540 CHARLESTON ST
OAKLAND, CA 94602

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 Diane Mccullough's NPI number?

The NPI number for Diane Mccullough is 1033497060. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Diane Mccullough located?

Diane Mccullough practices at 2540 Charleston St, Oakland, CA 94602. The listed phone number is (510) 531-7551.

What is Diane Mccullough's specialty?

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

Is Diane Mccullough enrolled in Medicare?

Yes. Diane Mccullough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Mccullough was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.