CLARK COMMUNITY MENTAL HEALTH CENTER (NPI# 1497297626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497297626 |
| Entity Type | Organization |
| Organization Name | CLARK COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
104 W Main St Pierce City MO 65723-1210 |
| Mailing Address |
Po Box 100 104 W. Main Pierce City MO 65723-2100 |
| Practice Telephone | 4174761000 |
| Mailing Telephone | 4174761000 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | BRAD RIDENOUR (CEO) |
| Authorized Official Telephone | 4174761000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1784 | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1801807771 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629432182 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central Ave, Monett, MO 65708 | 2016-04-11 |
| 1164752622 | Clark Community Mental Health Center | Clinic/Center | 1701 North Central St, Monett, MO 65708 | 2010-01-06 |
| 1497918320 | Clark Community Mental Health Center | Counselor | 1701 North Central Ave, Monett, MO 65708 | 2008-07-10 |
| 1801807771 | Clark Community Mental Health Center | Counselor | 307 4th St, Monett, MO 65708-2316 | 2006-08-10 |
| 1548615024 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central, Monett, MO 65708 | 2016-05-03 |
| 1881849982 | Clark Community Mental Health Center | Counselor | 104 West Main, Pierce City, MO 65723 | 2008-11-18 |
| 1881731230 | Clark Community Mental Health Center | Social Worker | 307 4th St, Monett, MO 65708-2316 | 2007-02-01 |
| 1922151422 | Clark Community Mental Health Center | Case Management | 307 4th St, Monett, MO 65708-2316 | 2007-01-19 |
| 1144373879 | Clark Community Mental Health Center | Clinic/Center | 509 S Jefferson Ave, Aurora, MO 65605-2213 | 2007-01-18 |
| 1588717193 | Clark Community Mental Health Center | Case Management | 307 4th St, Monett, MO 65708-2316 | 2007-01-18 |
| Street Address |
104 W MAIN ST |
| City | PIERCE CITY |
| State | MO |
| Zip Code | 65723-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184014003 | Christy Marie Henley | Nurse Practitioner | 104 W Main St, Pierce City, MO 65723-1210 | 2015-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959139 | Cathy Ingalls | Nurse Practitioner | 6633 Highway 37, Pierce City, MO 65723 | 2005-08-19 |
| 1881849982 | Clark Community Mental Health Center | Counselor | 104 West Main, Pierce City, MO 65723 | 2008-11-18 |
| 1134326333 | Children's Center | Voluntary or Charitable | 6633 Highway 37, Pierce City, MO 65723 | 2007-06-29 |
| 1891917043 | Christy K Ostrosky | Occupational Therapist | 300 Myrtle St, School Dist R6 Pierce City, Pierce City, MO 65723-0305 | 2007-05-03 |
| 1740500388 | Melissa Deann Brown | Occupational Therapist | 811 N Elm St, Pierce City, MO 65723-1008 | 2010-06-06 |
| 1063620268 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 N Elm St, Pierce City, MO 65723-1112 | 2007-05-19 |
| 1851433767 | School Dist R6 Pierce City | Physical Therapist | 300 N Myrtle St, Pierce City, MO 65723-1124 | 2007-02-14 |
| 1235418179 | Emily Wood | Speech-Language Pathologist | 300 N Myrtle St, Pierce City, MO 65723-1124 | 2011-08-09 |
| 1164611802 | Sheryl Kay Fuchs | Speech-Language Pathologist | 300 N Myrtle St, Pierce City R-vi, Pierce City, MO 65723-1124 | 2007-10-18 |
| 1598102741 | Melvin D Hodde Do LLC | General Practice | 101 N Elm St, Suite E, Pierce City, MO 65723-1218 | 2013-05-29 |
| Find all providers in zip 65723 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799360 | Alternative Interventions, Inc. | Community/Behavioral Health | 500 Nw Plaza Dr Ste 500, Saint Ann, MO 63074-2220 | 2020-10-26 |
| 1679171177 | Preferred Path LLC | Community/Behavioral Health | 1619 Summer Run Dr Unit 23, Florissant, MO 63033-6440 | 2020-10-15 |
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1649892779 | Ip Reserve | Community/Behavioral Health | 21332 Midway Ave, Gallatin, MO 64640-6314 | 2020-05-12 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1497399414 | Good Vibes Counseling Services | Community/Behavioral Health | 2002 Madison 417, Fredericktown, MO 63645-7002 | 2019-11-01 |
| 1528601614 | Worryfree Enterprises LLC | Community/Behavioral Health | 14491 Soho Dr, Florissant, MO 63034-2651 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
| City | PIERCE CITY |
| Zip Code | 65723 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.