DR. LISA A. MARIE PH.D., M.A.
NPI 1679646699
Marriage & Family Therapist in Ventura, CA

Active since November 16, 2006PECOS Enrolled
300 E SANTA CLARA ST STE 114, VENTURA, CA 93001(805) 290-2816 Get Directions Write a Review

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

Record update history: Oct 9, 2025, Jan 10, 2022, May 23, 2017 (3 updates tracked since 2017).

About Dr. Lisa A. Marie Ph.d., M.a. NPPES

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

DR. LISA A. MARIE PH.D., M.A. (NPI 1679646699) is an individual marriage & family therapist in Ventura, California, licensed in California (141143) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1679646699
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. LISA A. MARIECredential: PH.D., M.A.
Location Address300 E SANTA CLARA ST STE 114Ventura, CA 93001-2768
Mailing Address300 E Santa Clara St Ste 114Ventura, CA 93001-2768 · (805) 290-2816
Sole ProprietorYes
Medical School CMSOther
Enumeration DateNovember 16, 2006
Last NPPES UpdateJune 18, 20263 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1679646699 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 · 141143
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.
300 E SANTA CLARA ST STE 114, Ventura, CA 93001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa A. Marie Ph.d., M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557839453
PECOS Enrollment IDI20260508002876
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 Lisa Marie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 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.

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 Lisa Marie's NPI number?

The NPI number for Lisa Marie is 1679646699. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Lisa Marie located?

Lisa Marie practices at 300 E Santa Clara St Ste 114, Ventura, CA 93001. The listed phone number is (805) 290-2816.

What is Lisa Marie's specialty?

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

Is Lisa Marie enrolled in Medicare?

Yes. Lisa Marie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Marie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Marie reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Lisa Marie'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 Lisa Marie was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.