NPIMap

Organization Active NPI

Clark Community Mental Health Center

  • Community/Behavioral Health Agency
  • Pierce City, MO
National Provider Identifier
1215080833
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLARK COMMUNITY MENTAL HEALTH CENTER
Practice address
104 W Main St
Pierce City, MO 65723-1210
Phone
(417) 476-1000
Fax
(417) 476-1082
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Schoon
Title
Director of Administration
Phone
(417) 476-1034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

104 W Main St
Pierce City, MO 65723-1210

Mailing address

PO Box 100
Pierce City, MO 65723-2100
Phone (417) 476-1000

Other identifiers 1

IdentifierTypeStateIssuer
876174319MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Clark Community Mentalhealth Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 W Main St
Pierce City, MO 65723
Phone (417) 235-6610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1215080833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657232100",
            "telephone_number": "417-476-1000",
            "fax_number": "417-943-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657231210",
            "telephone_number": "417-476-1000",
            "fax_number": "417-476-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "SCHOON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "417-476-1034"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876174319",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierce City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.