Randy Clark
NPI 1063939817 · Addiction (Substance Use Disorder) Counselor · West Plains, MO
Randy Clark is a Addiction (Substance Use Disorder) Counselor provider in West Plains, MO (NPI 1063939817).
Provider details
- NPI number
- 1063939817
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 202404464 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4670 County Road 2630Pomona, MO 65789-8113Phone: (417) 274-0469
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Randy Clark's NPI number?
- Randy Clark's National Provider Identifier (NPI) is 1063939817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randy Clark's specialty?
- Randy Clark is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Randy Clark located?
- Randy Clark's practice location on file with NPPES is 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691.
- What is Randy Clark's phone number?
- The practice phone number listed in the NPPES registry for Randy Clark is (417) 308-0671.
- Is Randy Clark's NPI active?
- Yes — Randy Clark's NPI (1063939817) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.