Individual provider Active NPI

Annette Dean St Marie, LMFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1093901779
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC-51884 Issued in CA
Practice address
100 E Thousand Oaks Blvd Ste 176
Thousand Oaks, CA 91360-8114
Phone
(707) 332-8008
Fax
(805) 850-7085
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC-51884 CA Primary

Addresses

Primary practice location

100 E Thousand Oaks Blvd Ste 176
Thousand Oaks, CA 91360-8114

Mailing address

2150 Pickwick Dr Unit 1752
Camarillo, CA 93011-7100
Phone (707) 332-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521004609 CA Practitioner - Marriage and Family Therapist 4587006648 Practice locations: Santa Rosa Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Santa Rosa Valley, CA 93012
Phone (707) 332-8008

PO Box
Suite 1752
Camarillo, CA 93011-1752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC-51884CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Family Therapy Inc Marriage & Family Therapist PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1093901779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PICKWICK DR UNIT 1752",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930117100",
            "telephone_number": "707-332-8008",
            "fax_number": "805-850-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD STE 176",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608114",
            "telephone_number": "707-332-8008",
            "fax_number": "805-850-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST MARIE",
        "first_name": "ANNETTE",
        "middle_name": "DEAN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC-51884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.