Mary Ryder Lewerenz, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150186 Issued in CA

Practice address

3609 Austin Bluffs Pkwy Ste 31
Colorado Springs, CO 80918-6658

Phone

(925) 390-3378

NPI assigned

Feb 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Integrative Wellness, a Marriage and Family Corp

  • Marriage & Family Therapist
  • San Luis Obispo, CA
  • NPI 1477232932
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1629832654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3889 LONG ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 AUSTIN BLUFFS PKWY STE 31",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186658",
            "telephone_number": "925-390-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWERENZ",
        "first_name": "MARY",
        "middle_name": "RYDER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Levy, FNP-BC
• Daniel Lew, DO
• Quinn Lew
• Brent John Lewandowski, DPT
• Tiffany Louise Lewandowski
• Jennifer Lee Lewey, M.D.
• Chad Lewing, PH.D.
• Yolanda Michelle Lewis-Harris, LPC
• Alfredia Lewis
• Allison Anne Lewis, PHARMD

• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.