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DIANE KAYE WILSON LMFT
NPI 1124892328
Marriage & Family Therapist in Los Angeles, CA

Active since November 08, 2023Opted out of Medicare · through Apr 5, 2028
11845 W OLYMPIC BLVD STE 705W, LOS ANGELES, CA 90064(310) 313-3313 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Kaye Wilson Lmft NPPES

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

DIANE KAYE WILSON LMFT (NPI 1124892328) is an individual marriage & family therapist in Los Angeles, California, licensed in California (102166) and active in the NPI registry since November 2023. She has opted out of Medicare through April 5, 2028 and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1124892328
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDIANE KAYE WILSONCredential: LMFT
Location Address11845 W OLYMPIC BLVD STE 705WLos Angeles, CA 90064-5027
Mailing Address3629 Ashwood AveLos Angeles, CA 90066-3013 · (310) 313-3313
Phone(310) 313-3313
Sole ProprietorYes
Enumeration DateNovember 8, 2023
NPPES CertifiedNovember 8, 2023
✔ NPI 1124892328 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 · 102166
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.
11845 W OLYMPIC BLVD STE 705W, Los Angeles, CA 90064
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Secondary Practice Location 1

Location 13629 Ashwood AveLos Angeles, CA 90066-3013 · Phone (310) 313-3313

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Diane Kaye Wilson Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 5, 2024 through April 5, 2028.

Opt-Out Effective DateApril 5, 2024
Opt-Out In Effect ThroughApril 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Wilson's NPI number?

The NPI number for Diane Wilson is 1124892328. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Diane Wilson located?

Diane Wilson practices at 11845 W Olympic Blvd Ste 705W, Los Angeles, CA 90064. The listed phone number is (310) 313-3313.

What is Diane Wilson's specialty?

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

Is Diane Wilson enrolled in Medicare?

No. Diane Wilson has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Diane Wilson was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.