DIANE R BRENEMAN LPC
NPI 1285223438
Counselor - Professional in Wickenburg, AZ
About Diane R Breneman Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE R BRENEMAN LPC (NPI 1285223438) is an individual professional provider in Wickenburg, Arizona, licensed in Arizona (LPC-17618) and active in the NPI registry since January 2021. She has opted out of Medicare through January 14, 2028.
NPPES Registry Identity
Specialties & Licenses
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 R Breneman Lpc 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 January 14, 2024 through January 14, 2028.
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 Breneman's NPI number?
The NPI number for Diane Breneman is 1285223438. It was assigned to this individual provider in the NPPES registry on January 12, 2021.
Where is Diane Breneman located?
Diane Breneman practices at 975 W Mclean Dr, Wickenburg, AZ 85390. The listed phone number is (623) 810-8463.
What is Diane Breneman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Diane Breneman enrolled in Medicare?
No. Diane Breneman has opted out of Medicare through January 14, 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 Breneman was last updated on January 12, 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.
# Diane R Breneman, LPC · NPI 1285223438
Professional provider in Wickenburg, Arizona. Individual provider, active in the CMS NPPES registry since January 12, 2021.
## Identity
- **NPI:** 1285223438 (Entity type: Individual)
- **Enumerated:** January 12, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-17618 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 975 W MCLEAN DR, Wickenburg, AZ 85390-3631
- **Phone:** (623) 810-8463
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 14, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285223438) · Data from the CMS NPPES public registry.