Provider Profile

Channel T. Clark, PMHNP-BC

Unclaimed Profile

About Channel Clark

Listed in the NPI registry as a nurse practitioner — psychiatric/mental health, Channel T. Clark, PMHNP-BC practices in Lees Summit, MO. Channel is also listed as specializing in registered nurse.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2024

Specialty

Nurse Practitioner — Psychiatric/Mental Health (Primary)
Nurse Practitioner — Psychiatric/Mental Health (Additional)

Credentials & Licensing

MO license2004022119
MO license2024039915
NPI1477374874
NPI issued10/18/2024

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Channel T. Clark specialize in?

Channel T. Clark is a nurse practitioner in Lees Summit, MO. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

Where is Channel T. Clark located?

Channel T. Clark is listed at 237 Nw Kessler Dr Apt 307, Lees Summit, MO 64081. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Channel T. Clark's phone number?

The number on file is (816) 289-1223. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Channel T. Clark's NPI number?

Channel T. Clark's National Provider Identifier is 1477374874. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Channel T. Clark train?

Channel T. Clark attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Channel T. Clark been practicing?

Channel T. Clark has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Channel T. Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Channel T. Clark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.