Active NPI
Hailey Weller, LCPC
- Professional Counselor
- San Francisco, CA
National Provider Identifier
1194403840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 22235
- Practice address
- 1777 Union St
San Francisco, CA 94123-4426 - Phone
- (410) 231-3773
- NPI assigned
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 22235 | CA | Primary |
| Professional Counselor | 101YP2500X | LC16664 | MD |
Addresses
Primary practice location
1777 Union St
San Francisco, CA 94123-4426
Mailing address
1777 Union St
San Francisco, CA 94123-4426
Other practice location 1
408 Allegheny Ave
Towson, MD 21204-4252
Phone (410) 231-3773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC16664 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hailey Weller LLC | Current | Accepting new patients |
Locations
1777 Union St
San Francisco, CA 94123
Phone (415) 346-0788
408 Allegheny Ave
Towson, MD 21204
Phone (410) 321-5851
Interoperability endpoints
- https://api.platform.athenahealth.com/7892/brand/1/csg/1/fhir/r4
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.
-
- Mental Health Counselor
- San Francisco, CA
- NPI 1730046079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1194403840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 UNION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 UNION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234426",
"telephone_number": "410-231-3773"
}
],
"practiceLocations": [
{
"address_1": "408 Allegheny Ave",
"address_purpose": "LOCATION",
"city": "Towson",
"state": "MD",
"postal_code": "212044252",
"country_code": "US",
"telephone_number": "410-231-3773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLER",
"first_name": "HAILEY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "22235",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC16664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.