DYAMON WHITE LPCC., LCPC
NPI 1710459789
Counselor - Professional in Berkeley, CA

Active since January 01, 2019PECOS EnrolledAccepts Medicare Assignment
2020 MILVIA ST, BERKELEY, CA 94704(708) 252-3515 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2024, Jan 1, 2019 (2 updates tracked since 2019).

About Dyamon White Lpcc., Lcpc NPPES

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

DYAMON WHITE LPCC., LCPC (NPI 1710459789) is an individual professional provider in Berkeley, California, licensed in Illinois (180.016297) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710459789
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDYAMON WHITECredential: LPCC., LCPC
Location Address2020 MILVIA STBerkeley, CA 94704-2685
Mailing Address2502 Orion AveSauk Village, IL 60411-5116 · (708) 252-3515
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 1, 2019
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1710459789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180.016297 Licensed in CA · 13009
2020 MILVIA ST, Berkeley, CA 94704

Accepted Insurance

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

Dyamon White Lpcc., Lcpc 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 ID4183122914
PECOS Enrollment IDI20250812000497
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 5

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

Psychiatry & Neurology (Psychiatry)
2020 MILVIA ST
BERKELEY, CA 94704
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2020 MILVIA ST, STE 450
BERKELEY, CA 94704
Marriage & Family Therapist
2020 MILVIA ST, STE. 450
BERKELEY, CA 94704
Psychiatry & Neurology (Psychiatry)
2020 MILVIA ST, SUITE 300
BERKELEY, CA 94704
Psychiatry & Neurology (Psychiatry)
2020 MILVIA ST, SUITE 300
BERKELEY, CA 94704

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 Dyamon White's NPI number?

The NPI number for Dyamon White is 1710459789. It was assigned to this individual provider in the NPPES registry on January 1, 2019.

Where is Dyamon White located?

Dyamon White practices at 2020 Milvia St, Berkeley, CA 94704. The listed phone number is (708) 252-3515.

What is Dyamon White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dyamon White enrolled in Medicare?

Yes. Dyamon White 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.

What insurance does Dyamon White accept?

Health plans from Providence Health Plan list Dyamon White 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 Dyamon White was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.