Clark Community Mental Health Center | |
1701 N Central Ave Monett MO 65708-9999 | |
(417) 476-1000 | |
(471) 476-1082 |
Full Name | Clark Community Mental Health Center |
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Speciality | Community/Behavioral Health |
Location | 1701 N Central Ave, Monett, Missouri |
Authorized Official Name and Position | Debbie Schoon (DIRECTOR OF ADMINISTRATION) |
Authorized Official Contact | 4174761034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clark Community Mental Health Center Po Box 100 Pierce City MO 65723-2100 Ph: (417) 476-1043 | Clark Community Mental Health Center 1701 N Central Ave Monett MO 65708-9999 Ph: (417) 476-1000 |
NPI Number | 1801807771 |
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Provider Enumeration Date | 08/10/2006 |
Last Update Date | 04/11/2024 |
Certification Date | 04/05/2024 |
Medicare PECOS PAC ID | 8527069277 |
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Medicare Enrollment ID | O20070123000267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801807771 | NPI | - | NPPES |
560197402 | Medicaid | MO |
Provider Name | Tabassum Saba |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427067230 PECOS PAC ID: 5890790042 Enrollment ID: I20060922000160 |
Provider Name | Warren E Weston |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821177262 PECOS PAC ID: 8628102290 Enrollment ID: I20100818000314 |
Provider Name | Charles L Graves |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144306440 PECOS PAC ID: 2769489533 Enrollment ID: I20100916000946 |
Provider Name | Matt C Costley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629225685 PECOS PAC ID: 2860688991 Enrollment ID: I20101201000193 |
Provider Name | Amanda Swink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477862050 PECOS PAC ID: 2961684667 Enrollment ID: I20110316000343 |
Provider Name | Jamie L Randall Arell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790043792 PECOS PAC ID: 5496911190 Enrollment ID: I20120727000720 |
Provider Name | Christy Marie Henley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184014003 PECOS PAC ID: 3678899234 Enrollment ID: I20150226001251 |
Provider Name | Amy Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437540846 PECOS PAC ID: 2062738545 Enrollment ID: I20150226002305 |
Provider Name | Richard Lynn Brewer |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962472670 PECOS PAC ID: 1052445293 Enrollment ID: I20150928001740 |
Provider Name | Hilda Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669841508 PECOS PAC ID: 0042528192 Enrollment ID: I20151009000720 |
Provider Name | Karla R Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104281922 PECOS PAC ID: 6800177080 Enrollment ID: I20161230000082 |
Provider Name | Kimberly Lucille Black |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255878989 PECOS PAC ID: 4880978907 Enrollment ID: I20170308001746 |
Provider Name | Cody Ryan Jeffries |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275083495 PECOS PAC ID: 6305111030 Enrollment ID: I20171005003640 |
Provider Name | Melissa Ussery |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1073820239 PECOS PAC ID: 4082968490 Enrollment ID: I20181120002538 |
Provider Name | Tracy Knight |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932553476 PECOS PAC ID: 9335485580 Enrollment ID: I20190514001069 |
Provider Name | Amy Herbst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639739626 PECOS PAC ID: 3870828783 Enrollment ID: I20190715003504 |
Provider Name | Claudia Ann Berry |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093247900 PECOS PAC ID: 2668802893 Enrollment ID: I20200430001449 |
Provider Name | Matthew J Dzak |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1841544681 PECOS PAC ID: 5991010563 Enrollment ID: I20200601000889 |
Provider Name | Melanie N Beckham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669097119 PECOS PAC ID: 3971925587 Enrollment ID: I20200626000328 |
Provider Name | Lynae R Friend |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831768555 PECOS PAC ID: 6002211372 Enrollment ID: I20210825000350 |
Provider Name | Lauren Renee Hedges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053984732 PECOS PAC ID: 8921404930 Enrollment ID: I20210831000293 |
Provider Name | Jason Obermann |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124516158 PECOS PAC ID: 7719235084 Enrollment ID: I20220531002492 |
Provider Name | Tiana Burnside |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578269346 PECOS PAC ID: 3870959208 Enrollment ID: I20230510000365 |
Provider Name | Helen Hansen |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609481803 PECOS PAC ID: 9133577570 Enrollment ID: I20231127000948 |
Provider Name | Patrick Gorman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1235779398 PECOS PAC ID: 1658729090 Enrollment ID: I20231127001114 |
Provider Name | Holly Jo Henderson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811389620 PECOS PAC ID: 9133577117 Enrollment ID: I20231201000254 |
Provider Name | Jennifer H Davis |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104430610 PECOS PAC ID: 4183072184 Enrollment ID: I20231201001431 |
Provider Name | Hope Caselman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639646284 PECOS PAC ID: 5294184560 Enrollment ID: I20231212001659 |
Provider Name | Trulea D Fletcher |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1316436603 PECOS PAC ID: 1557710696 Enrollment ID: I20231214000289 |
Provider Name | Heather Ann Hays |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518362151 PECOS PAC ID: 9234588344 Enrollment ID: I20231214003202 |
Provider Name | Kelly Cochran |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942806658 PECOS PAC ID: 7214387125 Enrollment ID: I20231219000609 |
Provider Name | Phoebe G Fullen |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740838259 PECOS PAC ID: 2264882182 Enrollment ID: I20231219000760 |
Provider Name | John Mark Koth |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679883144 PECOS PAC ID: 5799135620 Enrollment ID: I20231219001219 |
Provider Name | Brooke Ann Crosley |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801122031 PECOS PAC ID: 2769832583 Enrollment ID: I20231220001014 |
Provider Name | Jacob Fantin |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538883459 PECOS PAC ID: 1557711231 Enrollment ID: I20231220003813 |
Provider Name | Jackson T Douglas |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356695183 PECOS PAC ID: 7517317878 Enrollment ID: I20231228002073 |
Provider Name | Candace Marie Shaw |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295398170 PECOS PAC ID: 4284084500 Enrollment ID: I20231229000286 |
Provider Name | Teresa Frey |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821200775 PECOS PAC ID: 0941650048 Enrollment ID: I20240102003559 |
Provider Name | Michael D Cotter |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013427657 PECOS PAC ID: 2264883131 Enrollment ID: I20240105000452 |
Provider Name | Nicole Coorts |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598356917 PECOS PAC ID: 0244673630 Enrollment ID: I20240213003192 |
Provider Name | Joseph Mckinney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538751292 PECOS PAC ID: 6103262555 Enrollment ID: I20240308000173 |
Provider Name | Amy Elizabeth Jeffries |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417408253 PECOS PAC ID: 3476990920 Enrollment ID: I20240320002222 |
Provider Name | Sherri Lynn Criqui |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1356762983 PECOS PAC ID: 5890139331 Enrollment ID: I20240423002932 |
Family Centered Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Euclid Ave, Monett, MO 65708 Phone: 417-773-0981 | |
Clark Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 North Central Ave, Monett, MO 65708 Phone: 417-235-6610 Fax: 417-476-1081 | |
Clark Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 N Central, Monett, MO 65708 Phone: 417-476-1034 Fax: 417-476-1082 | |
Clark Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 4th St, Monett, MO 65708 Phone: 417-235-6610 Fax: 417-236-0058 |