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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MARC JAY PEDERSEN AMFT
NPI 1366905051
Marriage & Family Therapist in Santa Rosa, CA

Active since April 09, 2019
2403 PROFESSIONAL DR STE 101, SANTA ROSA, CA 95403(707) 544-3295 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 2, 2026, Feb 25, 2025, Apr 9, 2019 (3 updates tracked since 2019).

About Mr. Marc Jay Pedersen Amft NPPES

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

MR. MARC JAY PEDERSEN AMFT (NPI 1366905051) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (164756) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1366905051
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. MARC JAY PEDERSENCredential: AMFT
Location Address2403 PROFESSIONAL DR STE 101Santa Rosa, CA 95403-3007
Mailing Address16225 Rio Nido RdGuerneville, CA 95446-9567 · (707) 292-3010
Phone(707) 544-3295
Sole ProprietorYes
Enumeration DateApril 9, 2019
Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1366905051 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 · 164756
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.
2403 PROFESSIONAL DR STE 101, Santa Rosa, CA 95403
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA REFUGIO RICO CADTP REGISTERED
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
SCOTT D WIMMER
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
KATIA REYES
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
ANDREA SULLIVAN
Social Worker (Clinical)
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
GIANNA COLAVIN-BRIDGES LCSW
Social Worker (Clinical)
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 253-4279
MR. BRADLY DEE SNELL CADC II
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 360-4463
MONTY MASSIE
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
MONICA LAPPAT
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Pedersen's NPI number?

The NPI number for Marc Pedersen is 1366905051. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Marc Pedersen located?

Marc Pedersen practices at 2403 Professional Dr Ste 101, Santa Rosa, CA 95403. The listed phone number is (707) 544-3295.

What is Marc Pedersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Marc Pedersen was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.