Nidza Clarke, M.S. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80430 Issued in CA

Practice address

454 W Napa St
Sonoma, CA 95476-6519

Phone

(415) 722-4664

NPI assigned

Oct 21, 2015

Last updated

Oct 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 23, 2026 through Apr 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1104298868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MEERNAA AVE",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949302010",
            "telephone_number": "415-722-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W NAPA ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766519",
            "telephone_number": "415-722-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "NIDZA",
        "credential": "M.S. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Y Chan, OTR L CHT
• Arthur Leon Charette, DC QME
• Daryl H Chinn, M.D.
• Tenzin Chokey
• City of Sonoma (Sonoma Valley FireMed System)
• Lee Ann Clayton, LMFT
• Ceara Kathleen Clementi, AMFT APCC
• Allie Clifford, AMFT
• Alicia Dawn Cockrum, PSYD
• Katherine Leigh Coletti, LM, CPM

• Marriage & Family Therapist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.