HERLAY DIVINE LCSW
NPI 1497228431
Counselor - Mental Health in Guasti, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Herlay Divine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arcadia, CA 91006
- Reassigned Medicare billing, California enrollment
- 273 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GUASTI, CA 91743
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 Herlay Divine's NPI number?
The NPI number for Herlay Divine is 1497228431. It was assigned to this individual provider in the NPPES registry on January 2, 2019.
Where is Herlay Divine located?
Herlay Divine practices at 323 N Turner Ave Unit 1012, Guasti, CA 91743. The listed phone number is (201) 456-4595.
What is Herlay Divine's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Herlay Divine enrolled in Medicare?
Yes. Herlay Divine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Herlay Divine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Herlay Divine reassigns Medicare benefits to 2 organizations: Soultenders, Inc. (Arcadia, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Herlay Divine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Herlay Divine was last updated on April 16, 2024. 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.
# Herlay Divine, LCSW · NPI 1497228431
Mental Health provider in Guasti, California. Individual provider, active in the CMS NPPES registry since January 2, 2019.
## Identity
- **NPI:** 1497228431 (Entity type: Individual)
- **Enumerated:** January 2, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 121710 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 323 N TURNER AVE UNIT 1012, Guasti, CA 91743-1603
- **Phone:** (201) 456-4595
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Soultenders, Inc. (NPI 1164617007, Arcadia, CA); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497228431) · Data from the CMS NPPES public registry.