Active NPI
Natasha Monique Nicole Clark
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1831697945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 133243
- Practice address
- 516 W Shaw Ave Ste 200
Fresno, CA 93704-2515 - Phone
- (559) 547-7945
- NPI assigned
- Jan 24, 2018
- Last updated
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 133243 | CA | Primary |
| Behavior Technician | 106S00000X | CA | ||
| Marriage & Family Therapist | 106H00000X | CA |
Addresses
Primary practice location
516 W Shaw Ave Ste 200
Fresno, CA 93704-2515
Mailing address
516 W Shaw Ave Ste 200
Fresno, CA 93704-2515
Other names 1
- Ms. Natasha Smith
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Superintendent of Schools | Current | Accepting new patients | |
| Fresno County Superintendent of Schools | Current | Accepting new patients |
Locations
2440 Tulare St
Ste 200
Fresno, CA 93721
Phone (559) 265-3089
2560 W Shaw Ln
Ste 104
Fresno, CA 93711
Phone (559) 431-1086
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1003645367
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1235624768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1467042408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1831697945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W SHAW AVE STE 200",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W SHAW AVE STE 200",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042515",
"telephone_number": "559-547-7945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "NATASHA",
"middle_name": "MONIQUE NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "133243",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "SMITH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.