1. Home
  2. Directory
  3. California
  4. San Diego
  5. Counselor
  6. NPI Profile

FERESHTEH KATRINA MADJLESSI
NPI 1720395254
Counselor - Mental Health in San Diego, CA

Active since September 03, 2010PECOS Enrolled
545 LAUREL ST, SAN DIEGO, CA 92101(619) 233-4399(619) 233-0453 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fereshteh Katrina Madjlessi NPPES

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

FERESHTEH KATRINA MADJLESSI (NPI 1720395254) is an individual mental health provider in San Diego, California and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720395254
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameFERESHTEH KATRINA MADJLESSI
Location Address545 LAUREL STSan Diego, CA 92101-1634
Mailing Address545 Laurel StSan Diego, CA 92101-1634 · (619) 233-4399 · Fax (619) 233-0453
Phone(619) 233-4399
Fax(619) 233-0453
Sole ProprietorNo
Enumeration DateSeptember 3, 2010
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1720395254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
545 LAUREL ST, San Diego, CA 92101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fereshteh Katrina Madjlessi 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 Fereshteh Madjlessi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
419 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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.

MR. HUNTER MURDOCH
Rehabilitation Practitioner
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (439) 961-9233
ZACHARY MOELLER ASW
Social Worker (Clinical)
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
LAUREN FLEMING
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
MRS. KYLEIGH ANNE WOOD LVN
Licensed Vocational Nurse
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
BROOKLYN SIENNA GEORGE
Student in an Organized Health Care Education/Training Program
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
LAUREN KLING
Student in an Organized Health Care Education/Training Program
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
KATHLEEN FERRARA LMHC
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399
ALEMBRHAN HAILU YEMANE
Counselor (Mental Health)
545 LAUREL ST
SAN DIEGO, CA 92101
San Diego County (619) 233-4399

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 Fereshteh Madjlessi's NPI number?

The NPI number for Fereshteh Madjlessi is 1720395254. It was assigned to this individual provider in the NPPES registry on September 3, 2010.

Where is Fereshteh Madjlessi located?

Fereshteh Madjlessi practices at 545 Laurel St, San Diego, CA 92101. The listed phone number is (619) 233-4399.

What is Fereshteh Madjlessi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Fereshteh Madjlessi enrolled in Medicare?

Yes. Fereshteh Madjlessi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fereshteh Madjlessi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fereshteh Madjlessi reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Fereshteh Madjlessi'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 Fereshteh Madjlessi was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.