Nathan Tyler Clark

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864

Phone

(719) 344-9342

NPI assigned

Nov 4, 2025

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole Kids Co. PLLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1932617792
  NPD

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1194694422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15265 JESSIE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11681 VOYAGER PKWY STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213864",
            "telephone_number": "719-344-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NATHAN",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Eugene Clark, COTA
• Kiera Clark
• Lacie Clark, CAT
• Laura Clark, PHARMD, LAC, DIPL.OM
• Nathan C Clark, PTA
• Olivia Clark
• Phyllis Veronica Clark, M.D.
• Ronni Clark, MED, BCBA
• Sarah Clark, LMFT, LMHC, LPC
• Tiana Clark

• Behavior Technician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.