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MR. RENE F DVALERY LMFT
NPI 1083825673
Marriage & Family Therapist in Santa Rosa, CA

Active since May 24, 2007Opted out of Medicare · through Jan 1, 2028
1275 4TH ST # 5055, SANTA ROSA, CA 95404(510) 451-3000(510) 298-5696 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Jun 5, 2024, Jan 20, 2021 and 1 more (4 updates tracked since 2018).

About Mr. Rene F Dvalery Lmft NPPES

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

MR. RENE F DVALERY LMFT (NPI 1083825673) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFC46693) and active in the NPI registry since May 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1083825673
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. RENE F DVALERYCredential: LMFT
Location Address1275 4TH ST # 5055Santa Rosa, CA 95404-4057
Mailing Address1596 Wright StSanta Rosa, CA 95404-2928 · (415) 420-5572 · Fax (510) 298-5696
Phone(510) 451-3000
Fax(510) 298-5696
Sole ProprietorYes
Enumeration DateMay 24, 2007
Last NPPES UpdateJune 20, 20244 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1083825673 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 · MFC46693
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.
1275 4TH ST # 5055, Santa Rosa, CA 95404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Rene F Dvalery 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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 Rene Dvalery's NPI number?

The NPI number for Rene Dvalery is 1083825673. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Rene Dvalery located?

Rene Dvalery practices at 1275 4th St # 5055, Santa Rosa, CA 95404. The listed phone number is (510) 451-3000.

What is Rene Dvalery's specialty?

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

Is Rene Dvalery enrolled in Medicare?

No. Rene Dvalery has opted out of Medicare through January 1, 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 Dvalery was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.