Active NPI
Weller Professional Clinical Counselor, Apc
- Adolescent and Children Mental Health Clinic/Center
- San Francisco, CA
National Provider Identifier
1205733763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- WELLER PROFESSIONAL CLINICAL COUNSELOR, APC
- Practice address
- 1777 Union St
San Francisco, CA 94123-4426 - Phone
- (410) 231-3773
- NPI assigned
- Oct 20, 2026
- Last updated
- Oct 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hailey Weller, LPCC, LPC, LCPC
- Title
- President
- Phone
- (410) 231-3773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
1777 Union St
San Francisco, CA 94123-4426
Mailing address
1777 Union St
San Francisco, CA 94123-4426
Phone (410) 231-3773
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- San Francisco, CA
- NPI 1194403840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792454400000",
"number": "1205733763",
"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",
"telephone_number": "410-231-3773"
},
{
"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": [],
"basic": {
"organization_name": "WELLER PROFESSIONAL CLINICAL COUNSELOR, APC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-20",
"last_updated": "2026-10-20",
"certification_date": "2026-10-20",
"status": "A",
"authorized_official_last_name": "WELLER",
"authorized_official_first_name": "HAILEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-231-3773",
"authorized_official_credential": "LPCC, LPC, LCPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Oct 20, 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.