DIANE L PEMBERTON – Mental Health Counselor, NPI 1790455194

DIANE L PEMBERTON is a healthcare provider. based in Osterville, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for DIANE L PEMBERTON is 1790455194

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DIANE L PEMBERTON
NPI
1790455194
Phone
(508) 360-6267
Address
135 WIANNO AVE
Enumeration Date
16 September 2021
Last Update Date
16 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087781839
Graduation Year
2022 (4 years ago)
PAC ID
3678099058
Group Practice PAC ID
9234116583
Professional Enrollment ID
I20250429001605
Address ID
MA026011898HY100XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for DIANE L PEMBERTON

  • 135 WIANNO AVE

    OSTERVILLE, MA 026551925

    Phone: (508) 360-6267

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250429001605IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02655)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234116583View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Mental Health CounselorMA
-MA
Clinical Social WorkerMA
-RI
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

Does DIANE L PEMBERTON have a public NPI I can cite?
Public records show DIANE L PEMBERTON under NPI 1790455194.
Is DIANE L PEMBERTON's NPI status active today?
Active status means DIANE L PEMBERTON's NPI record is not deactivated in the public file.
What type of care does DIANE L PEMBERTON provide?
DIANE L PEMBERTON's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit DIANE L PEMBERTON in Osterville, Massachusetts?
For routing, start with Osterville, Massachusetts for DIANE L PEMBERTON, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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