KELLY M NIESS MFTI 58694
NPI 1942445887
Marriage & Family Therapist in Pacifica, CA

Q: What is Kelly Niess's NPI number?

The NPI number for Kelly Niess is 1942445887. It was assigned to this individual provider in the NPPES registry on December 5, 2008.

Q: What is Kelly Niess'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 Kelly Niess was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 December 05, 2008PECOS EnrolledAccepts Medicare Assignment

480 MANOR PLZ, PACIFICA, CA 94044(650) 355-8787(650) 355-8780 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly M Niess Mfti 58694 NPPES

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

KELLY M NIESS MFTI 58694 (NPI 1942445887) is an individual marriage & family therapist in Pacifica, California, licensed in California (MFTI 58694) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942445887

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY M NIESSCredential: MFTI 58694

Location Address480 MANOR PLZPacifica, CA 94044-1839

Mailing Address480 Manor PlzPacifica, CA 94044-1839 · (650) 355-8787 · Fax (650) 355-8780

Phone(650) 355-8787

Fax(650) 355-8780

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateDecember 5, 2008

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1942445887 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 · MFTI 58694

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.

480 MANOR PLZ, Pacifica, CA 94044

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly M Niess Mfti 58694 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426493982

PECOS Enrollment IDI20240224000151

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MRS. CHARLOTTE MCCALL LCSW

Social Worker (Clinical)