DYAMON WHITE LPCC., LCPC
NPI 1710459789
Counselor - Professional in Berkeley, CA
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Dyamon White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Thousand Oaks, CA 91320
- Reassigned Medicare billing, California enrollment
- 86 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERKELEY, CA 94704
BERKELEY, CA 94704
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.
Which organization bills Medicare for Dyamon White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dyamon White reassigns Medicare benefits to Thriveworks Clinical - California PC (Thousand Oaks, CA). The 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 Dyamon White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dyamon White accept?
Health plans from UnitedHealthcare 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 15 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.
# Dyamon White, LPCC., LCPC · NPI 1710459789
Professional provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since January 1, 2019.
## Identity
- **NPI:** 1710459789 (Entity type: Individual)
- **Enumerated:** January 1, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.016297 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2020 MILVIA ST, Berkeley, CA 94704-2685
- **Phone:** (708) 252-3515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thriveworks Clinical - California PC (NPI 1801481395, Thousand Oaks, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710459789) · Data from the CMS NPPES public registry.