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

KELSEY NICHOLE WEISS
NPI 1629696265
Marriage & Family Therapist in Petaluma, CA

Active since July 09, 2020
7 4TH ST STE 19, PETALUMA, CA 94952(707) 840-5059 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Oct 21, 2021, Jul 9, 2020 (3 updates tracked since 2020).

About Kelsey Nichole Weiss NPPES

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

KELSEY NICHOLE WEISS (NPI 1629696265) is an individual marriage & family therapist in Petaluma, California, licensed in California (146182) and active in the NPI registry since July 2020. She maintains a secondary practice location in Bodega.

NPPES Registry Identity

NPI1629696265
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELSEY NICHOLE WEISS
Location Address7 4TH ST STE 19Petaluma, CA 94952-3072
Mailing AddressPo Box 593Valley Ford, CA 94972-0593 · (206) 817-6702
Sole ProprietorNo
Enumeration DateJuly 9, 2020
Last NPPES UpdateJune 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1629696265 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 · 146182
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.
7 4TH ST STE 19, Petaluma, CA 94952

Secondary Practice Location 1

Location 1177 Valley Ford Freestone Rd # ABodega, CA 94922-9704 · Phone (206) 817-6702

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
7 4TH ST STE 19
PETALUMA, CA 94952

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 Kelsey Weiss's NPI number?

The NPI number for Kelsey Weiss is 1629696265. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Kelsey Weiss located?

Kelsey Weiss practices at 7 4th St Ste 19, Petaluma, CA 94952. The listed phone number is (707) 840-5059.

What is Kelsey Weiss'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 Kelsey Weiss was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 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.