ANNA NICOLE LEWIS LMFT
NPI 1063919355
Marriage & Family Therapist in Berkeley, CA

Active since April 12, 2018Opted out of Medicare · through Sep 13, 2026
3120 TELEGRAPH AVE STE 7D, BERKELEY, CA 94705(510) 900-9746 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anna Nicole Lewis Lmft NPPES

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

ANNA NICOLE LEWIS LMFT (NPI 1063919355) is an individual marriage & family therapist in Berkeley, California, licensed in California (90742) and active in the NPI registry since April 2018. She has opted out of Medicare through September 13, 2026.

NPPES Registry Identity

NPI1063919355
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANNA NICOLE LEWISCredential: LMFT
Location Address3120 TELEGRAPH AVE STE 7DBerkeley, CA 94705-1965
Mailing Address3120 Telegraph Ave Ste 7dBerkeley, CA 94705-1965 · (510) 900-9746
Sole ProprietorYes
Enumeration DateApril 12, 2018
NPI 1063919355 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 · 90742
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.
3120 TELEGRAPH AVE STE 7D, Berkeley, CA 94705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Anna Nicole Lewis 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 September 13, 2024 through September 13, 2026.

Opt-Out Effective DateSeptember 13, 2024
Opt-Out In Effect ThroughSeptember 13, 2026Opt-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 Anna Lewis's NPI number?

The NPI number for Anna Lewis is 1063919355. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Anna Lewis located?

Anna Lewis practices at 3120 Telegraph Ave Ste 7D, Berkeley, CA 94705. The listed phone number is (510) 900-9746.

What is Anna Lewis's specialty?

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

Is Anna Lewis enrolled in Medicare?

No. Anna Lewis has opted out of Medicare through September 13, 2026. 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 Anna Lewis was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.