MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES INC
NPI 1003074964
Community/Behavioral Health in Springfield, OH

Q: What is the provider's specialty?

The provider's specialty is Community/Behavioral Health with taxonomy code 251S00000X.

Active since May 28, 2008CLIA 36D1019043 · Waiver

1345 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504(937) 399-9500(937) 399-2701 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mental Health Services For Clark And Madison Counties Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES INC (NPI 1003074964) is a healthcare organization registered as a community/behavioral health in Springfield, Ohio and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Mark A Smith, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1003074964

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES INC

Location Address1345 N FOUNTAIN BLVDSpringfield, OH 45504-1422

Mailing Address1345 N Fountain BlvdSpringfield, OH 45504-1422 · (937) 399-9500 · Fax (937) 399-2701

Phone(937) 399-9500

Fax(937) 399-2701

Organization SubpartNo

Authorized OfficialMark A SmithChief Clinical Officer · (937) 399-9500

Enumeration DateMay 28, 2008

✔ NPI 1003074964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in OH · 0006

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1345 N FOUNTAIN BLVD, Springfield, OH 45504

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Other Identifiers 1

Medicare PIN9338511OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1019043

Mental Health Services For Clark And Madison Counties, Inc · Springfield, OH

Active · expires Nov 9, 2027

CLIA Number36D1019043

Laboratory TypePractitioner Other

Certificate Effective DateNovember 10, 2025

Certificate Expiration DateNovember 9, 2027

Laboratory DirectorKalpana K. Vishnupad

Laboratory Phone(937) 629-3046

Laboratory LocationMental Health Services For Clark And Madison Counties, Inc474 N Yellow Springs St, Springfield, OH 45504

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDA LAUFFENBERGER

Social Worker (Clinical)