DIANE JUNE HELTSLEY – Counselor, NPI 1104708668

DIANE JUNE HELTSLEY is a healthcare provider. based in Shelton, Washington. specializing in CLINICAL SOCIAL WORKER. The NPI Number for DIANE JUNE HELTSLEY is 1104708668

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DIANE JUNE HELTSLEY
NPI
1104708668
Phone
(818) 434-1979
Address
PO BOX 902
Enumeration Date
24 July 2025
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552417160
Graduation Year
1981 (45 years ago)
PAC ID
1850893850
Group Practice PAC ID
9335360981
Professional Enrollment ID
I20250908004309
Address ID
CA922601827PA39905SCEN301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for DIANE JUNE HELTSLEY

  • PO BOX 902

    SHELTON, WA 985840902

    Phone: (818) 434-1979

    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: 2025-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250908004309IClinical Social WorkerCATBD
I20251106003606IClinical Social WorkerWATBD

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 98584)

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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: 9335360981View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DIANE JUNE HELTSLEY?
DIANE JUNE HELTSLEY — NPI 1104708668 — is the standard way to identify this listing.
Can I rely on DIANE JUNE HELTSLEY being an active provider?
As of the registry snapshot, DIANE JUNE HELTSLEY is marked active.
What is DIANE JUNE HELTSLEY best known for clinically?
Directory data describes DIANE JUNE HELTSLEY with Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect DIANE JUNE HELTSLEY on a map?
Expect Shelton, Washington as a primary anchor for DIANE JUNE HELTSLEY unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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