LAURYN LEIGH ESTRADA MA
NPI 1467005645
Counselor - Professional in San Diego, CA

Q: What is Lauryn Estrada's NPI number?

The NPI number for Lauryn Estrada is 1467005645. It was assigned to this individual provider in the NPPES registry on July 17, 2019. The provider is also known as Lauryn Leigh Randall.

Q: What is Lauryn Estrada's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Lauryn Estrada enrolled in Medicare?

No. Lauryn Estrada has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lauryn Estrada was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 17, 2019Opted out of Medicare · through Apr 1, 2028

16870 W BERNARDO DR STE 400, SAN DIEGO, CA 92127(760) 652-9680 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2021, Jul 17, 2019 (2 updates tracked since 2019).

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About Lauryn Leigh Estrada Ma NPPES

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

LAURYN LEIGH ESTRADA MA (NPI 1467005645) is an individual professional provider in San Diego, California, licensed in California (8567) and active in the NPI registry since July 2019. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1467005645

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLAURYN LEIGH ESTRADACredential: MA

Location Address16870 W BERNARDO DR STE 400San Diego, CA 92127-1678

Mailing Address1605 Locust StSan Diego, CA 92106-2250 · (714) 483-2737

Phone(760) 652-9680

Sole ProprietorYes

Enumeration DateJuly 17, 2019

Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2021

✔ NPI 1467005645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · 8567

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

16870 W BERNARDO DR STE 400, San Diego, CA 92127

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Other Names 1

Former Name (1)Lauryn Leigh Randall

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lauryn Leigh Estrada Ma 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 April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

MS. CAROL SUSAN CARR MFT

Marriage & Family Therapist