MS. MISTY JO CLEMENS M.A., LCPC
NPI 1396021069
Counselor - Mental Health in Belleville, IL

Q: What is Misty Clemens's NPI number?

The NPI number for Misty Clemens is 1396021069. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Q: What is Misty Clemens's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Misty Clemens was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since October 26, 2011

56 S 65TH ST, SUITE 1, BELLEVILLE, IL 62223(618) 795-7608 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Misty Jo Clemens M.a., Lcpc NPPES

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

MS. MISTY JO CLEMENS M.A., LCPC (NPI 1396021069) is an individual mental health provider in Belleville, Illinois, licensed in Illinois (180.006844) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1396021069

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. MISTY JO CLEMENSCredential: M.A., LCPC

Location Address56 S 65TH ST, SUITE 1Belleville, IL 62223-2945

Mailing Address56 S 65th St, Suite 1Belleville, IL 62223-2945 · (618) 795-7608 · Fax (618) 213-7669

Phone(618) 795-7608

Sole ProprietorYes

Enumeration DateOctober 26, 2011

✔ NPI 1396021069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.006844

56 S 65TH ST, Belleville, IL 62223

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Other Providers at the Same Location NPPES

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

KMA CERTIFIED TESTING, INC.

Clinic/Center (Health Service)

56 S 65TH ST, SUITE 1
BELLEVILLE, IL 62223

St. Clair County (618) 213-7668

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 Misty Clemens's NPI number?

The NPI number for Misty Clemens is 1396021069. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Misty Clemens located?

Misty Clemens practices at 56 S 65th St Suite 1, Belleville, IL 62223. The listed phone number is (618) 795-7608.

What is Misty Clemens's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Misty Clemens was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.