Berenice Leon-Fonseca, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

148092 Issued in CA

Practice address

3511 Camino del Rio S Ste 500-5
San Diego, CA 92108-4003

Phone

(619) 361-1168

NPI assigned

May 2, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 5, 2025 through Apr 5, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart and Home Family Therapy, Prof. Corp.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1528995479
  NPD Authorized official
• Community Research Foundation

  • Community/Behavioral Health Agency
  • Chula Vista, CA
  • NPI 1720271448
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1699396465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 CAMINO DEL RIO S STE 500-5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084003",
            "telephone_number": "619-361-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CAMINO DEL RIO S STE 500-5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084003",
            "telephone_number": "619-361-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON-FONSECA",
        "first_name": "BERENICE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Fajerman
• Mariana Leon Garcia
• Christina Anna Leon Guerrero
• Zahira Leon Paguay
• Osiris Leon-Comiskey, AMFT
• Evangeline Deomampo Leon-Torres, MPH, CHES
• Roberto Leon-Torres, RN
• Ailyn Leon
• Ana Leon, ACSW
• Arturo Leon, M.D.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.