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BERENICE LEON-FONSECA LMFT
NPI 1699396465
Marriage & Family Therapist in San Diego, CA

Active since May 02, 2020Opted out of Medicare · through Apr 5, 2027
3511 CAMINO DEL RIO S STE 500-5, SAN DIEGO, CA 92108(619) 361-1168 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Jul 16, 2024, Jun 14, 2023 and 1 more (4 updates tracked since 2020).

About Berenice Leon-fonseca Lmft NPPES

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

BERENICE LEON-FONSECA LMFT (NPI 1699396465) is an individual marriage & family therapist in San Diego, California, licensed in California (148092) and active in the NPI registry since May 2020. She has opted out of Medicare through April 5, 2027.

NPPES Registry Identity

NPI1699396465
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBERENICE LEON-FONSECACredential: LMFT
Location Address3511 CAMINO DEL RIO S STE 500-5San Diego, CA 92108-4003
Mailing Address3511 Camino Del Rio S Ste 500-5San Diego, CA 92108-4003 · (619) 361-1168
Phone(619) 361-1168
Sole ProprietorYes
Enumeration DateMay 2, 2020
Last NPPES UpdateJuly 23, 20244 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1699396465 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 · 148092
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.
3511 CAMINO DEL RIO S STE 500-5, San Diego, CA 92108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Berenice Leon-fonseca Lmft 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 April 5, 2025 through April 5, 2027.

Opt-Out Effective DateApril 5, 2025
Opt-Out In Effect ThroughApril 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Berenice Leon-fonseca's NPI number?

The NPI number for Berenice Leon-fonseca is 1699396465. It was assigned to this individual provider in the NPPES registry on May 2, 2020.

Where is Berenice Leon-fonseca located?

Berenice Leon-fonseca practices at 3511 Camino Del Rio S Ste 500-5, San Diego, CA 92108. The listed phone number is (619) 361-1168.

What is Berenice Leon-fonseca's specialty?

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

Is Berenice Leon-fonseca enrolled in Medicare?

No. Berenice Leon-fonseca has opted out of Medicare through April 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Berenice Leon-fonseca was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.