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

Q: 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.

Q: What is Amanda Elizondo-fessler's specialty?

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

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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)