NIDZA CLARKE M.S. LMFT
NPI 1104298868
Marriage & Family Therapist in Sonoma, CA

Q: What is Nidza Clarke's NPI number?

The NPI number for Nidza Clarke is 1104298868. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Q: What is Nidza Clarke's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Nidza Clarke enrolled in Medicare?

No. Nidza Clarke has opted out of Medicare through April 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nidza Clarke was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 21, 2015Opted out of Medicare · through Apr 23, 2028

454 W NAPA ST, SONOMA, CA 95476(415) 722-4664 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nidza Clarke M.s. Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIDZA CLARKE M.S. LMFT (NPI 1104298868) is an individual marriage & family therapist in Sonoma, California, licensed in California (80430) and active in the NPI registry since October 2015. She has opted out of Medicare through April 23, 2028.

NPPES Registry Identity

NPI1104298868

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameNIDZA CLARKECredential: M.S. LMFT

Location Address454 W NAPA STSonoma, CA 95476-6519

Mailing Address190 Meernaa AveFairfax, CA 94930-2010 · (415) 722-4664

Phone(415) 722-4664

Sole ProprietorYes

Enumeration DateOctober 21, 2015

✔ NPI 1104298868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 80430

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

454 W NAPA ST, Sonoma, CA 95476

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Nidza Clarke M.s. Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 23, 2026 through April 23, 2028.

Opt-Out Effective DateApril 23, 2026

Opt-Out In Effect ThroughApril 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD M. SILVER PH.D.

Psychologist