CLARK COMMUNITY MENTAL HEALTH CENTER (NPI# 1548615024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548615024 |
| Entity Type | Organization |
| Organization Name | CLARK COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
1701 N Central Monett MO 65708 |
| Mailing Address |
Po Box 100 Pierce City MO 65723-2100 |
| Practice Telephone | 4174761034 |
| Practice Fax Number | 4174761082 |
| Mailing Telephone | 4174761034 |
| Mailing Fax Number | 4174761082 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | JESS MARIE GENEL (BILLING SPECIALIST) |
| Authorized Official Telephone | 4174761034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| 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 |
| 1497297626 | Clark Community Mental Health Center | Community/Behavioral Health | 104 W Main St, Pierce City, MO 65723-1210 | 2016-11-04 |
| 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 |
1701 N CENTRAL |
| City | MONETT |
| State | MO |
| Zip Code | 65708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851599955 | Joli Michelle Lewis | Counselor | 1701 N Central, Monett, MO 65708 | 2007-07-10 |
| 1609481803 | Helen Hansen | Counselor | 1701 N Central, Monett, MO 65708-6570 | 2020-09-14 |
| 1235779398 | Patrick Gorman | Counselor | 1701 N Central, Monett, MO 65708-6570 | 2020-01-07 |
| 1245884956 | Kelly Adams | Counselor | 1701 N Central, Monett, MO 65708-6570 | 2019-07-31 |
| 1093367898 | Lacey Berry | Counselor | 1701 N Central, Monett, MO 65708-6570 | 2019-07-11 |
| 1124688122 | Christina Sharp | Social Worker | 1701 N Central, Monett, MO 65708-6570 | 2019-06-20 |
| 1316436603 | Trulea Fletcher | Counselor | 1701 N Central, Monett, MO 65708 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1629432182 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central Ave, Monett, MO 65708 | 2016-04-11 |
| 1386010767 | Kathleen Josef Cook | Physical Therapist | 700 E. Cleveland Ave., Monett, MO 65708 | 2015-08-19 |
| 1427443829 | Jeremy Cash Graddy | Physical Therapist | 864 E Us Hwy 60, Suite A, Monett, MO 65708 | 2015-04-02 |
| 1871925529 | Kimberly K Mundt | Counselor | 1701 N Central Ave., Monett, MO 65708 | 2013-08-05 |
| 1114269776 | Amy J Cole | Counselor | 1701 N. Central, Monett, MO 65708 | 2013-03-21 |
| 1538444120 | Brenda Kay Barger-saunders | Respiratory Therapist, Certified | 807 North Lincoln Avenue, Asthma Education Program, Monett, MO 65708 | 2011-10-15 |
| 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 |
| 1295929644 | Apex Physical Therapy, LLC | Clinic/Center | 100 Chapel Drive, Suite C, Monett, MO 65708 | 2007-08-29 |
| Find all providers in zip 65708 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484599 | Institute of Intrapersonal Development, LLC | Clinic/Center | 1872 Woodhollow Drive, Apt. 211, Maryland Heights, MO 63043-3957 | 2020-10-13 |
| 1740813096 | Hotel California By The Sea St. Louis, LLC | Clinic/Center | 333 S Kirkwood Rd Ste 303, Kirkwood, MO 63122-6161 | 2020-02-14 |
| 1659832079 | Metro Neurohealth LLC | Clinic/Center | 3641 Meadowglen Ct, Saint Charles, MO 63303-6678 | 2019-03-28 |
| 1013472703 | Teresa L Deshields Phd LLC | Clinic/Center | 225 S Meramec Ave Ste 432t, Clayton, MO 63105-3597 | 2019-02-06 |
| 1497226328 | Butler Psychological Services, LLC | Clinic/Center | 13532 Lawrence 1127, Mount Vernon, MO 65712-7504 | 2018-12-17 |
| 1710425236 | Beaconstar Counseling, LLC | Clinic/Center | 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 | 2017-02-03 |
| 1689111379 | Mindfully Whole Psychotherapy LLC | Clinic/Center | 4057 W Ildereen St, Springfield, MO 65807-1063 | 2017-01-19 |
| 1760839260 | Independence Center | Clinic/Center | 4245 Forest Park Ave, Saint Louis, MO 63108-2810 | 2016-05-16 |
| 1912361627 | New Horizons Community Support Services, Inc. | Clinic/Center | 2013 William St, Jefferson City, MO 65109-4771 | 2016-04-08 |
| 1780069161 | Iqbal Psychiatry | Clinic/Center | 1015 Grupp Rd Unit 31035, Saint Louis, MO 63131-5002 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
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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.