CLARK COMMUNITY MENTAL HEALTH CENTER — NPI 1629432182 (Licensed & Credentialed Community/Behavioral Health in MONETT, MO)

CMS-1500 Box 24J / 33a • NPI

1629432182

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251S00000X

Licensed & Credentialed Community/Behavioral Health

Box 32 Service Location & ZIP+4

1701 N CENTRAL AVE, MONETT, MO, 65708

Official NPPES Practice Location

Practice Phone & Referral Fax

(417) 235-6610

Fax: (417) 476-1082

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629432182 (CLARK COMMUNITY MENTAL HEALTH CENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629432182` (NPI-2 Organization / Facility)
Provider / Legal Name	CLARK COMMUNITY MENTAL HEALTH CENTER
Plain-English Specialty	Licensed & Credentialed Community/Behavioral Health NUCC Code: `251S00000X` (Community/Behavioral Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1701 N CENTRAL AVE, MONETT, MO, 65708
Practice Telephone / Fax	Tel: (417) 235-6610 \| Fax: (417) 476-1082
Administrative Mailing Address	PO BOX 100, PIERCE CITY, MO, 65723-2100
Enumeration & Last Sync	Enumerated: 2016-04-11 \| CMS Record Updated: 2026-07-23
Authorized Official	ANGELA SUPPLEE (Payer Enrollment Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1701 N CENTRAL AVE, MONETT, MO, 65708

🗺️ Open in Google Maps 🏥 More Providers in MONETT

🔒 Are you CLARK COMMUNITY MENTAL HEALTH CENTER? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (251S00000X)

What Does Taxonomy Code 251S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251S00000X translates to:
"Licensed & Credentialed Community/Behavioral Health"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community/Behavioral Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLARK COMMUNITY MENTAL HEALTH CENTER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MO \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

CLARK COMMUNITY MENTAL HEALTH CENTER (NPI #1629432182)