MARNI ANNA PETERSON (LMFT, DMFT) – Marriage & Family Therapist, NPI 1023729993

MARNI ANNA PETERSON (LMFT, DMFT) is a healthcare provider. based in St augustine, Florida. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT, DMFT. They hold a License No. 4033 (FL). The NPI Number for MARNI ANNA PETERSON (LMFT, DMFT) is 1023729993

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MARNI ANNA PETERSON (LMFT, DMFT)
NPI
1023729993
Phone
(651) 434-4977
Address
322 MARSHSIDE DR N
Enumeration Date
12 December 2022
Last Update Date
12 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8777792429
Graduation Year
2019 (7 years ago)
PAC ID
9739675836
Group Practice PAC ID
5193021848
Professional Enrollment ID
I20251228000152
Address ID
FL344748443OC3200XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

324 MARRIAGE AND FAMILY THERAPIST in FL

Provider Addresses for MARNI ANNA PETERSON (LMFT, DMFT)

  • 322 MARSHSIDE DR N

    ST AUGUSTINE, FL 320809152

    Phone: (651) 434-4977

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251228000152IMarriage And Family TherapistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32080)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193021848View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical Social WorkerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is MARNI ANNA PETERSON (LMFT, DMFT) listed with a National Provider Identifier?
Yes — MARNI ANNA PETERSON (LMFT, DMFT) has NPI 1023729993 on file in the registry.
Is MARNI ANNA PETERSON (LMFT, DMFT) shown as active in public data?
Registry records indicate MARNI ANNA PETERSON (LMFT, DMFT) maintains an active NPI.
How would a patient describe MARNI ANNA PETERSON (LMFT, DMFT)'s focus?
For MARNI ANNA PETERSON (LMFT, DMFT), the primary taxonomy reads as Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Is MARNI ANNA PETERSON (LMFT, DMFT) located near St Augustine?
MARNI ANNA PETERSON (LMFT, DMFT) currently maps to St Augustine, Florida in this extract.
When was this NPI issued?
Enumeration for MARNI ANNA PETERSON (LMFT, DMFT) is noted as December 12, 2022 where the registry provides it.

Similar Providers

CAROL HOOPER (LCSW)

Clinical Social Worker
South Ponce de Leon Boulevard, Saint Augustine, Saint Johns County, Florida, 32084, United States
NPI: 1104815687

TARA HALEY (LMFT)

Marriage & Family Therapist
South Dixie Highway, West Augustine, Saint Augustine, Saint Johns County, Florida, 32084, United States
NPI: 1528057916

Unknown Individual

Marriage & Family Therapist
PO BOX 4412
NPI: 1780644203

Unknown Individual

Marriage & Family Therapist
200, San Sebastian View, Saint Augustine, Saint Johns County, Florida, 32084, United States
NPI: 1104835701
1100 S PONCE DE LEON BLVD STE 1
NPI: 1245309210

CAROLYN MOLDOVANYI (LMHC, LMFT)

Marriage & Family Therapist
5187, Farm Creek Road, Oakwood, World Golf Village, Saint Johns County, Florida, 32092, United States
NPI: 1639233026
1001 E Knollwood St
NPI: 1780712661

CAROLYN JEAN TUCKER

Mental Health Counselor
203, Prince Road, Saint Augustine South, Saint Johns County, Florida, 32086, United States
NPI: 1083820088

DR. MARY BOYD NEAL (PH.D., LMFT)

Marriage & Family Therapist
320, High Tide Drive, Sea Grove, Saint Augustine Beach, Saint Johns County, Florida, 32080, United States
NPI: 1508075789