Individual provider Active NPI

Natalie Stendahl Clark, MA, MT-BC

  • Mental Health Counselor
  • Londonderry, NH
National Provider Identifier
1790099539
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
184 Mammoth Rd Unit 1
Londonderry, NH 03053-3254
Phone
(603) 255-3877
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

184 Mammoth Rd Unit 1
Londonderry, NH 03053-3254

Mailing address

4 Wight St
Raymond, NH 03077-2312
Phone (508) 904-2719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 13, 2024 through Mar 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2833NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Counseling Services LLC Mental Health CurrentSince Sep 5, 2023 Accepting new patients

Locations

184 Mammoth Rd
Unit 1
Londonderry, NH 03053
Phone (603) 255-3877

Organizations & group practices 1

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1790099539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WIGHT ST",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030772312",
            "telephone_number": "508-904-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 MAMMOTH RD UNIT 1",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533254",
            "telephone_number": "603-255-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NATALIE",
        "middle_name": "STENDAHL",
        "name_prefix": "Ms.",
        "credential": "MA, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.