DANIELLE ROSANNA DERSE AMFT
NPI 1164397618
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Danielle Derse's NPI number?

The NPI number for Danielle Derse is 1164397618. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Q: What is Danielle Derse's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Derse was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2025

2255 CHALLENGER WAY STE 107, SANTA ROSA, CA 95407(707) 565-4797 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Danielle Rosanna Derse Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLE ROSANNA DERSE AMFT (NPI 1164397618) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (150401) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1164397618

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDANIELLE ROSANNA DERSECredential: AMFT

Location Address2255 CHALLENGER WAY STE 107Santa Rosa, CA 95407-5423

Mailing AddressPo Box 173Healdsburg, CA 95448-0173 · (818) 577-0007

Phone(707) 565-4797

Sole ProprietorNo

Enumeration DateOctober 6, 2025

NPPES CertifiedOctober 6, 2025

✔ NPI 1164397618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 150401

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2255 CHALLENGER WAY STE 107, Santa Rosa, CA 95407

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