DIANA S POULSON
NPI 1114241205
Marriage & Family Therapist in Sebastopol, CA

Active since March 18, 2010PECOS Enrolled
7765 HEALDSBURG AVE, SEBASTOPOL, CA 95472(707) 824-4782 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana S Poulson NPPES

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

DIANA S POULSON (NPI 1114241205) is an individual marriage & family therapist in Sebastopol, California, licensed in California (MFC34244) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114241205
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDIANA S POULSON
Location Address7765 HEALDSBURG AVESebastopol, CA 95472-3309
Mailing Address708 Gravenstein Hwy N, #339Sebastopol, CA 95472-2808 · (707) 824-4782
Sole ProprietorYes
Enumeration DateMarch 18, 2010
NPI 1114241205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC34244
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.
7765 HEALDSBURG AVE, Sebastopol, CA 95472

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Diana S Poulson 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Chiropractor
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE, SUITE 12
SEBASTOPOL, CA 95472
Acupuncturist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Marriage & Family Therapist
7765 HEALDSBURG AVE, SUITE 12
SEBASTOPOL, CA 95472

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 Diana Poulson's NPI number?

The NPI number for Diana Poulson is 1114241205. It was assigned to this individual provider in the NPPES registry on March 18, 2010.

Where is Diana Poulson located?

Diana Poulson practices at 7765 Healdsburg Ave, Sebastopol, CA 95472. The listed phone number is (707) 824-4782.

What is Diana Poulson's specialty?

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

Is Diana Poulson enrolled in Medicare?

Yes. Diana Poulson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Poulson was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.