EMBER & ASH INTEGRATIVE MENTAL HEALTH LLC
NPI 1760336366
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MO

Q: What is Ember & Ash Integrative Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 23, 2026

2021 S WAVERLY AVE STE 500, SPRINGFIELD, MO 65804(417) 855-4309(417) 855-8229 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2026, Jul 14, 2026 (2 updates tracked since 2026).

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About Ember & Ash Integrative Mental Health Llc NPPES

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

EMBER & ASH INTEGRATIVE MENTAL HEALTH LLC (NPI 1760336366) is a healthcare organization registered as a psychiatric/mental health in Springfield, Missouri and active in the NPI registry since February 2026. The organization lists Riki Lee Clark, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1760336366

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameEMBER & ASH INTEGRATIVE MENTAL HEALTH LLC

Location Address2021 S WAVERLY AVE STE 500Springfield, MO 65804-2400

Mailing Address2021 S Waverly Ave Ste 500Springfield, MO 65804-2400 · (417) 880-9481 · Fax (417) 855-8229

Phone(417) 855-4309

Fax(417) 855-8229

Organization SubpartNo

Authorized OfficialRiki Lee ClarkManaging Member · (417) 880-9481

Enumeration DateFebruary 23, 2026

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1760336366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

2021 S WAVERLY AVE STE 500, Springfield, MO 65804

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ember & Ash Integrative Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ember & Ash Integrative Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Riki Clark, PMHNP

Nurse Practitioner

NPI 1104541150

2021 S WAVERLY AVE STE 500
Springfield, MO 65804

(417) 855-4309

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ember & Ash Integrative Mental Health LLC's NPI number?

The NPI number for Ember & Ash Integrative Mental Health LLC is 1760336366. It was assigned to this organization in the NPPES registry on February 23, 2026.

Where is Ember & Ash Integrative Mental Health LLC located?

Ember & Ash Integrative Mental Health LLC is located at 2021 S Waverly Ave Ste 500, Springfield, MO 65804. The listed phone number is (417) 855-4309.

What is Ember & Ash Integrative Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ember & Ash Integrative Mental Health LLC enrolled in Medicare?

Yes. Ember & Ash Integrative Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ember & Ash Integrative Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ember & Ash Integrative Mental Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ember & Ash Integrative Mental Health LLC was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.