Kelsey Nichole Weiss

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

146182 Issued in CA

Practice address

7 4TH St Ste 19
Petaluma, CA 94952-3072

Phone

(707) 840-5059

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1629696265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "VALLEY FORD",
            "state": "CA",
            "postal_code": "949720593",
            "telephone_number": "206-817-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 4TH ST STE 19",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523072",
            "telephone_number": "707-840-5059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Valley Ford Freestone Rd # A",
            "address_purpose": "LOCATION",
            "city": "Bodega",
            "state": "CA",
            "postal_code": "949229704",
            "country_code": "US",
            "telephone_number": "206-817-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KELSEY",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wavelengths Recovery
• Donald W Waxman, MFT
• Justin Henry Weeks, D.P.T
• Roger Dana Weeks, M.D.
• Shari Robin Weiser, AMFT
• Stephen A. Weiss, MD
• Danielle Welch
• Anne Marie Welensky, MCD CCC-SLP
• Kelly Colleen Wells
• Vanessa Wells

• Marriage & Family Therapist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.