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DIANE FENNEMA MA
NPI 1245308162
Counselor - Mental Health in Kirkland, WA

Active since November 30, 2006Opted out of Medicare · through Mar 8, 2028
26 20TH AVE, KIRKLAND, WA 98033(425) 827-7880 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Fennema Ma NPPES

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

DIANE FENNEMA MA (NPI 1245308162) is an individual mental health provider in Kirkland, Washington, licensed in Washington (LH00003920) and active in the NPI registry since November 2006. She has opted out of Medicare through March 8, 2028.

NPPES Registry Identity

NPI1245308162
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIANE FENNEMACredential: MA
Location Address26 20TH AVEKirkland, WA 98033-4925
Mailing Address26-20th AveKirkland, WA 98033 · (425) 827-7880
Phone(425) 827-7880
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245308162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH00003920
26 20TH AVE, Kirkland, WA 98033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 Fennema Ma 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 March 8, 2024 through March 8, 2028.

Opt-Out Effective DateMarch 8, 2024
Opt-Out In Effect ThroughMarch 8, 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 Fennema's NPI number?

The NPI number for Diane Fennema is 1245308162. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Diane Fennema located?

Diane Fennema practices at 26 20th Ave, Kirkland, WA 98033. The listed phone number is (425) 827-7880.

What is Diane Fennema's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Diane Fennema enrolled in Medicare?

No. Diane Fennema has opted out of Medicare through March 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Diane Fennema accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Diane Fennema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Fennema was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.