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MARY KATHERINE CLARK
NPI 1023978905
Community/Behavioral Health in Boise, ID

Active since November 13, 2025
1276 W RIVER ST STE 100, BOISE, ID 83702(208) 781-8504 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Katherine Clark NPPES

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

MARY KATHERINE CLARK (NPI 1023978905) is an individual community/behavioral health provider in Boise, Idaho and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1023978905
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameMARY KATHERINE CLARK
Location Address1276 W RIVER ST STE 100Boise, ID 83702-7083
Mailing Address1276 W River St Ste 100Boise, ID 83702-7083 · (208) 781-8504
Phone(208) 781-8504
Sole ProprietorYes
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1023978905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
1276 W RIVER ST STE 100, Boise, ID 83702
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Other Providers at the Same Location NPPES 20

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

DANIELLE ASHLIN GRAFFIS
Community/Behavioral Health
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 781-8507
AARON LAMAR ANDREASEN LPC
Counselor
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 338-4699
CASEY MATTHEWS
Community/Behavioral Health
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 919-2453
MARIE BRANCH
Community/Behavioral Health
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 338-4699
JOSHUA RUGG
Community/Behavioral Health
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 338-4699
TAYLOR WILSON LMSW
Social Worker
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 338-4699
ALEXIA MARIE LANCASTER BS
Community/Behavioral Health
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 703-3949
SARAH KIMBERLY TISH LMSW
Social Worker (Clinical)
1276 W RIVER ST STE 100
BOISE, ID 83702
Ada County (208) 338-4699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Clark's NPI number?

The NPI number for Mary Clark is 1023978905. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Mary Clark located?

Mary Clark practices at 1276 W River St Ste 100, Boise, ID 83702. The listed phone number is (208) 781-8504.

What is Mary Clark's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mary Clark was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.