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DIANE C. GLEIM MA, LMFT
NPI 1811019466
Marriage & Family Therapist in Santa Rosa, CA

Active since April 04, 2007Opted out of Medicare · through Jan 1, 2028
930 MENDOCINO AVE STE 102, SANTA ROSA, CA 95401(707) 535-9650 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2025, Sep 26, 2021 (2 updates tracked since 2021).

About Diane C. Gleim Ma, Lmft NPPES

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

DIANE C. GLEIM MA, LMFT (NPI 1811019466) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFC44429) and active in the NPI registry since April 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1811019466
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDIANE C. GLEIMCredential: MA, LMFT
Location Address930 MENDOCINO AVE STE 102Santa Rosa, CA 95401-4864
Mailing Address930 Mendocino Ave Ste 102Santa Rosa, CA 95401-4864 · (707) 535-9650
Phone(707) 535-9650
Sole ProprietorYes
Enumeration DateApril 4, 2007
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1811019466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC44429
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
930 MENDOCINO AVE STE 102, Santa Rosa, CA 95401
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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 C. Gleim Ma, Lmft 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Gleim's NPI number?

The NPI number for Diane Gleim is 1811019466. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Diane Gleim located?

Diane Gleim practices at 930 Mendocino Ave Ste 102, Santa Rosa, CA 95401. The listed phone number is (707) 535-9650.

What is Diane Gleim's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Diane Gleim enrolled in Medicare?

No. Diane Gleim has opted out of Medicare through January 1, 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 Gleim was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.