1. Home
  2. Directory
  3. California
  4. Riverside
  5. Marriage Family Therapist
  6. NPI Profile

MARIEJOSE BALLEZA FICHTNER MFTI
NPI 1194247593
Marriage & Family Therapist in Riverside, CA

Active since July 07, 2017PECOS Enrolled
3075 MYERS ST BLDG 1, RIVERSIDE, CA 92503(951) 358-6895 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mariejose Balleza Fichtner Mfti NPPES

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

MARIEJOSE BALLEZA FICHTNER MFTI (NPI 1194247593) is an individual marriage & family therapist in Riverside, California, licensed in California (IMF93087) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194247593
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARIEJOSE BALLEZA FICHTNERCredential: MFTI
Location Address3075 MYERS ST BLDG 1Riverside, CA 92503-5525
Mailing Address3075 Myers St Bldg 1Riverside, CA 92503-5525
Phone(951) 358-6895
Sole ProprietorNo
Enumeration DateJuly 7, 2017
✔ NPI 1194247593 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 · IMF93087
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.
3075 MYERS ST BLDG 1, Riverside, CA 92503
Open in Google Maps ↗

Other Names 1

Former Name (1)Mariejose Balleza Ruiz

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariejose Balleza Fichtner Mfti 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 Reassignment

Medicare enrollment records show Mariejose Fichtner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wise Mind Counseling Services Inc.
3.0 mi
Marriage & Family Therapist
11801 PIERCE ST STE 200
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1598300642 (951) 432-5140

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 5

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

KIMBERLY FUENTES ASW
Social Worker (Clinical)
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Riverside County (951) 358-6895
ALEJANDRA ANDALON B.S.
Social Worker
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Riverside County (951) 358-6895
SARYNA LOPEZ
Social Worker (Clinical)
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Riverside County (951) 358-6895
ALEXIS KRISTINE ESPINOZA
Social Worker
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Riverside County (951) 358-6895
ADELA SOSA B.A.
Case Manager/Care Coordinator
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Riverside County (951) 358-6895

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 Mariejose Fichtner's NPI number?

The NPI number for Mariejose Fichtner is 1194247593. It was assigned to this individual provider in the NPPES registry on July 7, 2017. The provider is also known as Mariejose Balleza Ruiz.

Where is Mariejose Fichtner located?

Mariejose Fichtner practices at 3075 Myers St Bldg 1, Riverside, CA 92503. The listed phone number is (951) 358-6895.

What is Mariejose Fichtner's specialty?

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

Is Mariejose Fichtner enrolled in Medicare?

Yes. Mariejose Fichtner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariejose Fichtner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariejose Fichtner reassigns Medicare benefits to Wise Mind Counseling Services Inc. (Riverside, CA). The 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 Mariejose Fichtner'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 Mariejose Fichtner was last updated on July 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.