Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly M Niess, MFTI58694

Individual provider Marriage & Family Therapist · NPI 1942445887

Kelly M Niess, MFTI58694 is a Marriage and Family Therapist in Pacifica, California. Qualified in 2008, 18 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
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Practice location Address checks out

480 Manor Plz
Pacifica, CA 94044-1839
Phone: (650) 355-8787
Fax: (650) 355-8780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFTI 58694 (CA)

Record details

NPI number1942445887
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFTI58694
Sole proprietorYes
NPI enumeratedDecember 5, 2008
Last updated in NPPESFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pacifica