Organization Active NPI

Clark Noonan Marriage and Family Counseling a Professional Corporation

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1073347928
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CLARK NOONAN MARRIAGE AND FAMILY COUNSELING A PROFESSIONAL CORPORATION
Practice address
1401 21St St # 5801
Sacramento, CA 95811-5226
Phone
(916) 209-0352
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clark Noonan, LMFTNPI 1508516444
Title
Owner
Phone
(916) 209-0352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1401 21St St # 5801
Sacramento, CA 95811-5226

Mailing address

5515 Pacific St Unit 141
Rocklin, CA 95677-4806
Phone (916) 209-0352

National Provider Directory

National Provider Directory

Locations

5515 Pacific St
Unit 141
Rocklin, CA 95677

1401 21st St
#5801
Sacramento, CA 95811
Phone (916) 209-0352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1073347928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 PACIFIC ST UNIT 141",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774806",
            "telephone_number": "916-209-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 21ST ST # 5801",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "916-209-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK NOONAN MARRIAGE AND FAMILY COUNSELING A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-209-0352",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.