MRS. TELISA AMBER FEARS-FASON MS, LMFT
NPI 1538950100
Marriage & Family Therapist in Munster, IN

Active since May 14, 2025PECOS EnrolledAccepts Medicare Assignment
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321(219) 595-0043 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Telisa Amber Fears-fason Ms, Lmft NPPES

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

MRS. TELISA AMBER FEARS-FASON MS, LMFT (NPI 1538950100) is an individual marriage & family therapist in Munster, Indiana, licensed in Indiana (35002503A) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538950100
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. TELISA AMBER FEARS-FASONCredential: MS, LMFT
Location Address9250 COLUMBIA AVE STE 2EMunster, IN 46321-3530
Mailing Address9250 Columbia Ave Ste 2eMunster, IN 46321-3530
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1538950100 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 IN · 35002503A
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.
9250 COLUMBIA AVE STE 2E, Munster, IN 46321

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Mrs. Telisa Amber Fears-fason Ms, 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 ID4587179155
PECOS Enrollment IDI20250714000955
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 Telisa Fears-fason reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Clinical
9250 COLUMBIA AVE, SUITE E2
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • 43 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 20

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

Counselor (Mental Health)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321
Social Worker (Clinical)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321
Nurse Practitioner (Psychiatric/Mental Health)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321
Counselor (Mental Health)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321
Counselor (Mental Health)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321
Social Worker (Clinical)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321
Social Worker (Clinical)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321
Counselor (Mental Health)
9250 COLUMBIA AVE STE 2E
MUNSTER, IN 46321

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 Telisa Fears-fason's NPI number?

The NPI number for Telisa Fears-fason is 1538950100. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Telisa Fears-fason located?

Telisa Fears-fason practices at 9250 Columbia Ave Ste 2E, Munster, IN 46321. The listed phone number is (219) 595-0043.

What is Telisa Fears-fason's specialty?

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

Is Telisa Fears-fason enrolled in Medicare?

Yes. Telisa Fears-fason 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 Telisa Fears-fason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Telisa Fears-fason reassigns Medicare benefits to Nwi Clarity Clinic (Munster, IN). 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 Telisa Fears-fason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Telisa Fears-fason accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare and UnitedHealthcare list Telisa Fears-fason 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 Telisa Fears-fason was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.