Organization Active NPI

Clark Therapeutic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlantic, IA
National Provider Identifier
1356276273
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLARK THERAPEUTIC LLC
Practice address
514 Chestnut St
Atlantic, IA 50022-1248
Phone
(712) 340-1500
NPI assigned
Jun 13, 2026
Last updated
Jun 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Authorized official

Name
Kaley Clark, MS LMHCNPI 1750920773
Title
Owner
Phone
(712) 249-2904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

514 Chestnut St
Atlantic, IA 50022-1248

Mailing address

514 Chestnut St
Atlantic, IA 50022-1248
Phone (712) 340-1500

National Provider Directory

National Provider Directory

Locations

514 Chestnut St
Atlantic, IA 50022
Phone (712) 249-2904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1356276273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CHESTNUT ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221248",
            "telephone_number": "712-340-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CHESTNUT ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221248",
            "telephone_number": "712-340-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK THERAPEUTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-249-2904",
        "authorized_official_credential": "MS LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.