MS. RENE LEWELLYN (NPI# 1003962564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003962564 |
| Entity Type | Individual |
| Full Name | MS. RENE LEWELLYN |
| Credential | M.A, MFT |
| Practice Address |
1210 Central Blvd Suite 122 Brentwood CA 94513-2242 |
| Practice Telephone | 9256343821 |
| Mailing Telephone | 9256343821 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC42173 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCC MEDI-CAL | 09064 | 01 |
| Street Address |
1210 CENTRAL BLVD SUITE 122 |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385258 | Viennese Jefferson | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2020-01-08 |
| 1013557966 | Hannah Ferreira | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2020-01-08 |
| 1659919694 | Audrey Elaine Hamel | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2019-12-19 |
| 1447898341 | Jessica Maitoza | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513 | 2019-12-11 |
| 1689145856 | Kimberly Medeiros | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-12-16 |
| 1932676830 | Cynthia Gallo | Behavior Technician | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-29 |
| 1003382052 | Samantha Oropeza | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-17 |
| 1629553821 | Tasabih Shamboul | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-03 |
| 1407331606 | Amanda Gaffagan | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-10-03 |
| 1649752775 | Vanessa Quezada | Behavioral Analyst | 1210 Central Blvd, Brentwood, CA 94513-2242 | 2018-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319586 | Melinda Contreras Pollack | Marriage & Family Therapist | 1120 2nd St Ste 106, Brentwood, CA 94513-2230 | 2020-09-01 |
| 1316563174 | Shelly Lee Welsh | Marriage & Family Therapist | 414 Madera St, Brentwood, CA 94513-6326 | 2020-06-17 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1588152821 | Jillian D'ornellas-lacombe | Marriage & Family Therapist | 400 Crooked Hill Rd, Brentwood, NY 11717-1039 | 2018-04-23 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1033625462 | Life Balance Institute of Healing | Marriage & Family Therapist | 160 B Guthrie Lane Suite 1, Brentwood, CA 94513-4060 | 2017-12-21 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1295273019 | Laura Bevilacqua | Marriage & Family Therapist | 160 Guthrie Ln # B, Suite 1, Brentwood, CA 94513-4059 | 2017-02-01 |
| 1164968954 | Stephanie Ellen Jansse | Marriage & Family Therapist | 160 Guthrie Ln Ste 1b, Brentwood, CA 94513-4060 | 2017-01-17 |
| 1508300336 | Joseph Mcnulty | Marriage & Family Therapist | 312a Wilson Pike Cir, Brentwood, TN 37027-2743 | 2016-12-13 |
| Find all providers in BRENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.