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AMANDA ELIZONDO-FESSLER
NPI 1083278220
Marriage & Family Therapist in San Diego, CA

Active since April 23, 2019PECOS Enrolled
402 W BROADWAY STE 400, SAN DIEGO, CA 92101(866) 478-3978 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, Apr 3, 2024, Oct 24, 2023 and 3 more (6 updates tracked since 2019).

About Amanda Elizondo-fessler NPPES

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

AMANDA ELIZONDO-FESSLER (NPI 1083278220) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT132304) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083278220
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMANDA ELIZONDO-FESSLER
Location Address402 W BROADWAY STE 400San Diego, CA 92101-3554
Mailing AddressPo Box 21651El Cajon, CA 92021-0964
Phone(866) 478-3978
Sole ProprietorNo
Enumeration DateApril 23, 2019
Last NPPES UpdateOctober 8, 20246 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1083278220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · LMFT132304✔ Licensed in CA · AMFT110249
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.
402 W BROADWAY STE 400, San Diego, CA 92101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Elizondo-fessler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Elizondo-fessler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cyti Health PC
Same address
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978
Silver Lake Psychology Inc.
115 mi
Psychologist
4325 W SUNSET BLVD, 206
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group
NPI 1932651817 (310) 388-7983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

KATHRYN CHRISTINE HERRERA LPCC
Counselor (Mental Health)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (760) 835-5563
MARY O'HERN MATULICH
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978
NABIL BAIG D.O.
Hospitalist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (559) 898-2244
MIRANDA RENEE LEON LCSW
Social Worker (Clinical)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978
MICHELLE C DEFLORIMONTE FNP
Nurse Practitioner (Family)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (407) 920-0785
AMAYA TUELLER MARRIAGE AND FAMILY THERAPIST INC.
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (619) 320-5776
CHANTAY CRAWFORD
Non-emergency Medical Transport (VAN)
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (916) 941-5561
ANGELICA CRISTINA DOMINGUEZ
Marriage & Family Therapist
402 W BROADWAY STE 400
SAN DIEGO, CA 92101
San Diego County (866) 478-3978

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 Amanda Elizondo-fessler's NPI number?

The NPI number for Amanda Elizondo-fessler is 1083278220. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Amanda Elizondo-fessler located?

Amanda Elizondo-fessler practices at 402 W Broadway Ste 400, San Diego, CA 92101. The listed phone number is (866) 478-3978.

What is Amanda Elizondo-fessler's specialty?

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

Is Amanda Elizondo-fessler enrolled in Medicare?

Yes. Amanda Elizondo-fessler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Elizondo-fessler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Elizondo-fessler reassigns Medicare benefits to 2 organizations: Cyti Health PC (San Diego, CA) and Silver Lake Psychology Inc. (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Elizondo-fessler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Elizondo-fessler was last updated on October 8, 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.