MARINA VANESSA PETERSEN
NPI 1891439758
Marriage & Family Therapist in Manteca, CA
About Marina Vanessa Petersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINA VANESSA PETERSEN (NPI 1891439758) is an individual marriage & family therapist in Manteca, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marina Vanessa Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Marina Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95207
- Reassigned Medicare billing, California enrollment
- 247 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANTECA, CA 95336
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 Marina Petersen's NPI number?
The NPI number for Marina Petersen is 1891439758. It was assigned to this individual provider in the NPPES registry on April 26, 2022.
Where is Marina Petersen located?
Marina Petersen practices at 129 E Center St Ste 3, Manteca, CA 95336. The listed phone number is (209) 239-5553.
What is Marina Petersen's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Marina Petersen enrolled in Medicare?
Yes. Marina Petersen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marina Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marina Petersen reassigns Medicare benefits to 2 organizations: Telecare Corporation (Stockton, CA) and Permanente Medical Group Inc (Stockton, CA). Each 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 Marina Petersen'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 Marina Petersen was last updated on April 26, 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.
# Marina Vanessa Petersen · NPI 1891439758
Marriage & Family Therapist provider in Manteca, California. Individual provider, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1891439758 (Entity type: Individual)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 129 E CENTER ST STE 3, Manteca, CA 95336-4648
- **Phone:** (209) 239-5553
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Telecare Corporation (NPI 1982071502, Stockton, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1891439758) · Data from the CMS NPPES public registry.