NPIMap

Organization Active NPI

Clark Community Mental Health Center

  • Community/Behavioral Health Agency
  • Monett, MO
National Provider Identifier
1497918320
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
1701 North Central Ave
Monett, MO 65708
Phone
(417) 235-6610
Fax
(417) 476-1081
NPI assigned
Jul 10, 2008
Last updated
Jul 23, 2026By the provider in NPPES
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
Angela Supplee
Title
Payer Enrollment Manager
Phone
(417) 476-1000

Specialties & licenses 1

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

Addresses

Primary practice location

1701 North Central Ave
Monett, MO 65708

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Clark Community Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1497918320",
    "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": "1701 NORTH CENTRAL AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "65708",
            "telephone_number": "417-235-6610",
            "fax_number": "417-476-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "SUPPLEE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PAYER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "417-476-1000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, 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.