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MS. JESSICA HANCOCK FODOR MA, MFT
NPI 1083830327
Marriage & Family Therapist in San Diego, CA

Active since April 17, 2007Opted out of Medicare · through Jan 8, 2028
3274 ROSECRANS ST, SAN DIEGO, CA 92110(619) 226-2663(619) 226-2837 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jessica Hancock Fodor Ma, Mft NPPES

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

MS. JESSICA HANCOCK FODOR MA, MFT (NPI 1083830327) is an individual marriage & family therapist in San Diego, California, licensed in California (MFC35431) and active in the NPI registry since April 2007. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1083830327
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JESSICA HANCOCK FODORCredential: MA, MFT
Location Address3274 ROSECRANS STSan Diego, CA 92110-4836
Mailing Address3274 Rosecrans StSan Diego, CA 92110-4836 · (619) 226-2663 · Fax (619) 226-2837
Phone(619) 226-2663
Fax(619) 226-2837
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083830327 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 · MFC35431
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.
3274 ROSECRANS ST, San Diego, CA 92110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Jessica Hancock Fodor Ma, Mft 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 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

MR. JUSTIN JAY WYLIE
Counselor (Addiction (Substance Use Disorder))
3274 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 226-2663
MS. ELIZABETH ANN URQUHART MFT
Marriage & Family Therapist
3274 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 226-2663

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 Jessica Fodor's NPI number?

The NPI number for Jessica Fodor is 1083830327. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Jessica Fodor located?

Jessica Fodor practices at 3274 Rosecrans St, San Diego, CA 92110. The listed phone number is (619) 226-2663.

What is Jessica Fodor's specialty?

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

Is Jessica Fodor enrolled in Medicare?

No. Jessica Fodor has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Fodor accept?

Health plans from Providence Health Plan list Jessica Fodor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Fodor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.