Active NPI
Clark Noonan, LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1508516444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 144749
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 144749 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Noonan Marriage and Family Counseling a Professional Corporation | Marriage & Family Therapist | Current | Accepting new patients |
| The Growing Place Center for Helping People | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Sacramento, CA
- NPI 1073347928
-
- Marriage & Family Therapist
- Chico, CA
- NPI 1952849622
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.