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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: October 18, 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
Phone(510) 531-7551
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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Diane Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
12 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. SARA LOUISE MCKINNON
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 220-2548
MICHAEL ERWIN CLARK JR.
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551
RENALD EDWARDS JR.
Counselor
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-3666
KRISTIN MICHELLE WAGNER LCSW
Social Worker (Clinical)
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-3666
ADRIANA ZAPIEN
Day Training/Habilitation Specialist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 913-4696
JANIS CAVICCHIA
Marriage & Family Therapist
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551
JOSE DANIEL HERNANDEZ B.A.
Student in an Organized Health Care Education/Training Program
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551
MS. PATTI-ANN MALONEY MSW
Social Worker
2540 CHARLESTON ST
OAKLAND, CA 94602
Alameda County (510) 531-7551

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.

Which organization bills Medicare for Diane Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Mccullough reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Diane Mccullough'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 Diane Mccullough was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.