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HERLAY DIVINE LCSW
NPI 1497228431
Counselor - Mental Health in Guasti, CA

Active since January 02, 2019PECOS EnrolledAccepts Medicare Assignment
323 N TURNER AVE UNIT 1012, GUASTI, CA 91743(201) 456-4595 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2024, Jan 31, 2022, Jul 31, 2020 and 2 more (5 updates tracked since 2019).

About Herlay Divine Lcsw NPPES

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

HERLAY DIVINE LCSW (NPI 1497228431) is an individual mental health provider in Guasti, California, licensed in California (121710) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497228431
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHERLAY DIVINECredential: LCSW
Location Address323 N TURNER AVE UNIT 1012Guasti, CA 91743-1603
Mailing Address323 N Turner Ave Unit 1012Guasti, CA 91743-1603 · (201) 456-4595
Phone(201) 456-4595
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 2, 2019
Last NPPES UpdateApril 16, 20245 updates tracked since enumeration
NPPES CertifiedMarch 30, 2024
✔ NPI 1497228431 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 CA · 121710
323 N TURNER AVE UNIT 1012, Guasti, CA 91743
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Herlay Divine Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567996317
PECOS Enrollment IDI20241115001154
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

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

HEART HEAL WITH HERLAY DIVINE LICENSED CLINICAL SOCIAL WORK INC
Counselor (Mental Health)
323 N TURNER AVE UNIT 1012
GUASTI, CA 91743
San Bernardino County (909) 472-1272

Frequently Asked Questions

What is Herlay Divine's NPI number?

The NPI number assigned to this healthcare provider is 1497228431, enumerated as an "individual" on January 02, 2019.

Where is the provider located?

The provider is located at 323 N TURNER AVE UNIT 1012 GUASTI, CA 91743 and the phone number is (201) 456-4595.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.