CLARK COMMUNITY MENTAL HEALTH CENTER (NPI# 1881849982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881849982 |
| Entity Type | Organization |
| Organization Name | CLARK COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
104 West Main Pierce City MO 65723 |
| Mailing Address |
Po Box 100 Pierce City MO 65723-2100 |
| Practice Telephone | 4174761000 |
| Practice Fax Number | 4174761082 |
| Mailing Telephone | 4174761000 |
| Mailing Fax Number | 4174761082 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | MRS. JAYNE HELMKAMP (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4174761035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2008025261 | MO | Behavioral Health & Social Service Providers |
| 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 |
| 1548615024 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central, Monett, MO 65708 | 2016-05-03 |
| 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 WEST MAIN |
| City | PIERCE CITY |
| State | MO |
| Zip Code | 65723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417109372 | Peggy Ann Bryan | Social Worker | 104 West Main, Pierce City, MO 65723-2100 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959139 | Cathy Ingalls | Nurse Practitioner | 6633 Highway 37, Pierce City, MO 65723 | 2005-08-19 |
| 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 |
| 1497297626 | Clark Community Mental Health Center | Community/Behavioral Health | 104 W Main St, Pierce City, MO 65723-1210 | 2016-11-04 |
| 1184014003 | Christy Marie Henley | Nurse Practitioner | 104 W Main St, Pierce City, MO 65723-1210 | 2015-01-30 |
| Find all providers in zip 65723 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669604948 | Patricia W Wodlinger | Counselor | 104 W Main, Pierce City, MO 65723-2100 | 2009-08-20 |
| 1760614044 | Wesley Adam Starlin | Counselor | 104 W. Main St., Pierce City, MO 65723-2100 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1225637838 | Summer Lynn Mcgowan | Counselor | 12040 Southern Breeze, Dexter, MO 63841-2890 | 2020-10-23 |
| 1578162434 | Laquesha Boston | Counselor | 14463 Gravelle Ln, Florissant, MO 63034-2209 | 2020-10-21 |
| 1013515725 | Tim Gravier | Counselor | 770 Aramis Dr, Creve Coeur, MO 63141-7309 | 2020-10-14 |
| 1790383651 | Oasis Counseling and Enrichment | Counselor | 201 Main St Ste 9, Parkville, MO 64152-3645 | 2020-10-13 |
| 1912505082 | Rebekah Sue Weidenaar | Counselor | 503 W Reed St, Moberly, MO 65270-1509 | 2020-10-12 |
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1679170971 | Avery C Lough | Counselor | 627 E Springfield St, Saint James, MO 65559-1655 | 2020-10-08 |
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | PIERCE CITY |
| Zip Code | 65723 |
Please comment or provide details below to improve the information on CLARK COMMUNITY MENTAL HEALTH CENTER.
| 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.