Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. RENE LEWELLYN M.A, MFT
NPI 1003962564
Marriage & Family Therapist in Laguna Beach, CA

Active since January 26, 2007Opted out of Medicare · through Jan 26, 2028
1968 S COAST HWY, STE 2174, LAGUNA BEACH, CA 92651(925) 634-3821(866) 748-2528 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ms. Rene Lewellyn M.a, Mft NPPES

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

MS. RENE LEWELLYN M.A, MFT (NPI 1003962564) is an individual marriage & family therapist in Laguna Beach, California, licensed in California (MFC42173) and active in the NPI registry since January 2007. She has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1003962564
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. RENE LEWELLYNCredential: M.A, MFT
Location Address1968 S COAST HWY, STE 2174Laguna Beach, CA 92651-3681
Mailing Address1210 Central Blvd, Suite 122Brentwood, CA 94513-2242 · (925) 634-3821
Fax(866) 748-2528
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateSeptember 4, 2026
NPPES CertifiedSeptember 4, 2026
✔ NPI 1003962564 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 · MFC42173
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.
1968 S COAST HWY, Laguna Beach, CA 92651

Other Identifiers 1

Other09064CA · Ccc Medi-cal

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Rene Lewellyn M.a, Mft 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 26, 2024 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2024
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1968 S COAST HWY
LAGUNA BEACH, CA 92651
Nurse Practitioner (Psychiatric/Mental Health)
1968 S COAST HWY, 4097
LAGUNA BEACH, CA 92651
Counselor (Mental Health)
1968 S COAST HWY
LAGUNA BEACH, CA 92651

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 Rene Lewellyn's NPI number?

The NPI number for Rene Lewellyn is 1003962564. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Rene Lewellyn located?

Rene Lewellyn practices at 1968 S Coast Hwy Ste 2174, Laguna Beach, CA 92651. The listed phone number is (925) 634-3821.

What is Rene Lewellyn's specialty?

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

Is Rene Lewellyn enrolled in Medicare?

No. Rene Lewellyn has opted out of Medicare through January 26, 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 Rene Lewellyn was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.