1. Home
  2. Directory
  3. Missouri
  4. West Plains
  5. Counselor
  6. NPI Profile

RANDY GENE CLARK SR.
NPI 1063939817
Counselor - Addiction (Substance Use Disorder) in West Plains, MO

Active since August 23, 2017
1639 BRUCE SMITH PKWY, WEST PLAINS, MO 65775(417) 308-0671 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2025, Jul 21, 2022, Aug 23, 2017 (3 updates tracked since 2017).

About Randy Gene Clark Sr. NPPES

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

RANDY GENE CLARK SR. (NPI 1063939817) is an individual addiction (substance use disorder) provider in West Plains, Missouri and active in the NPI registry since August 2017. He maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1063939817
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDY GENE CLARK SR.
Location Address1639 BRUCE SMITH PKWYWest Plains, MO 65775-7691
Mailing Address45335 Sierra HwyLancaster, CA 93534-1611 · (661) 949-8599
Phone(417) 308-0671
Sole ProprietorYes
Enumeration DateAugust 23, 2017
Last NPPES UpdateApril 11, 20253 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1063939817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 202404464 (MO)
1639 BRUCE SMITH PKWY, West Plains, MO 65775
Open in Google Maps ↗

Secondary Practice Location 1

Location 14670 County Road 2630Pomona, MO 65789-8113 · Phone (417) 274-0469

Other Providers at the Same Location NPPES 10

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

WILLIAM STINES LPN
Licensed Practical Nurse
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 257-1833
BHG XXVIII, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 257-1833
MRS. BRITTANY JACKSON LPN
Licensed Practical Nurse
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 257-1833
CRYSTAL VOYLES LPN
Licensed Practical Nurse
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 257-1833
JENNIFER WILKINS RASAC I
Counselor (Addiction (Substance Use Disorder))
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 257-1833
BHG LXXIV, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 255-6441
MELISSA BASSHAM
Registered Nurse
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 257-1833
MRS. MICHELLE BRYAN RASAC1
Counselor (Addiction (Substance Use Disorder))
1639 BRUCE SMITH PKWY
WEST PLAINS, MO 65775
Howell County (417) 257-1833

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 Randy Clark's NPI number?

The NPI number for Randy Clark is 1063939817. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Randy Clark located?

Randy Clark practices at 1639 Bruce Smith Pkwy, West Plains, MO 65775. The listed phone number is (417) 308-0671.

What is Randy Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Randy Clark was last updated on April 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.