MARY ANN FORNES LMFT
NPI 1417444100
Marriage & Family Therapist in San Diego, CA

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
770 1ST AVE STE 250, SAN DIEGO, CA 92101(858) 252-3001 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2020, Aug 20, 2020, Apr 18, 2018 (3 updates tracked since 2018).

About Mary Ann Fornes Lmft NPPES

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

MARY ANN FORNES LMFT (NPI 1417444100) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT118523) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417444100
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY ANN FORNESCredential: LMFT
Location Address770 1ST AVE STE 250San Diego, CA 92101-6170
Mailing Address770 1st Ave Ste 250San Diego, CA 92101-6170 · (858) 252-3001
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 18, 2018
Last NPPES UpdateJanuary 26, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2025
✔ NPI 1417444100 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 · LMFT118523✔ Licensed in CA · 118523
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.
770 1ST AVE STE 250, San Diego, CA 92101

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Ann Fornes Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789194473
PECOS Enrollment IDI20250616001059
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 Mary Ann Fornes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2515 CAMINO DEL RIO S STE 325
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group

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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
770 1ST AVE STE 250
SAN DIEGO, CA 92101
Marriage & Family Therapist
770 1ST AVE STE 250
SAN DIEGO, CA 92101
Behavior Analyst
770 1ST AVE STE 250
SAN DIEGO, CA 92101
Marriage & Family Therapist
770 1ST AVE STE 250
SAN DIEGO, CA 92101
Marriage & Family Therapist
770 1ST AVE STE 250
SAN DIEGO, CA 92101
Social Worker
770 1ST AVE STE 250
SAN DIEGO, CA 92101
Counselor (Professional)
770 1ST AVE STE 250
SAN DIEGO, CA 92101
Nurse Practitioner
770 1ST AVE STE 250
SAN DIEGO, CA 92101

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 Mary Ann Fornes's NPI number?

The NPI number for Mary Ann Fornes is 1417444100. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Mary Ann Fornes located?

Mary Ann Fornes practices at 770 1st Ave Ste 250, San Diego, CA 92101. The listed phone number is (858) 252-3001.

What is Mary Ann Fornes's specialty?

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

Is Mary Ann Fornes enrolled in Medicare?

Yes. Mary Ann Fornes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Ann Fornes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ann Fornes reassigns Medicare benefits to California Pacific Counseling Center (San Diego, 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 Mary Ann Fornes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Ann Fornes accept?

Health plans from Oscar Health and UnitedHealthcare list Mary Ann Fornes 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 Mary Ann Fornes was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.