Individual provider Active NPI

Clark Noonan, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1508516444
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
144749 Issued in CA
Practice address
1401 21St St # 5801
Sacramento, CA 95811-5226
Phone
(916) 209-0352
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 144749 CA 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
144749CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Noonan Marriage and Family Counseling a Professional Corporation Marriage & Family Therapist CurrentSince Sep 1, 2024 Accepting new patients
The Growing Place Center for Helping People Marriage & Family Therapist PastSince Mar 1, 2022 Accepting new patients

Locations

5515 Pacific St
Unit 141
Rocklin, CA 95677

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1508516444",
    "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": {
        "last_name": "NOONAN",
        "first_name": "CLARK",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144749",
            "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 1, 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.