Skip to content
NPISignal

Organization

Impact Behavioral Counseling LLC

NPI Record: ActiveCounselor — Addiction (Substance Use Disorder)
NPI1386169050
Jackson, Tennessee

Provider's NPPES record last updated: May 14, 2026

Overview

Entity Type
Organization
NPI
1386169050
Primary Specialty
Counselor — Addiction (Substance Use Disorder)
Practice Location
Jackson, Tennessee
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:16 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Primary

    Definition to come...

    Taxonomy code 101YA0400X

Practice Locations

Practice Location

37 Sandstone Cir Ste 92b

Jackson, Tennessee 38305-2089

Phone: (731) 265-6025

Additional Practice Location

801 Hill St Ste B

Springfield, Tennessee 37172-2951

Phone: (615) 382-3002

Additional Practice Location

2010 S Point Park Cir Apt 190

Huntsville, Alabama 35801-5480

Phone: (256) 880-5818

Fax: (256) 883-5346

Additional Practice Location

5 Dunnbarr

Laurel, Mississippi 39440-1041

Phone: (601) 651-3015

Fax: (601) 265-1657

Additional Practice Location

2655 Lakeland Dr

Flowood, Mississippi 39232-9516

Phone: (601) 957-7343

Fax: (601) 957-7344

Additional Practice Location

605 2nd Ave N

Columbus, Mississippi 39701-4513

Phone: (662) 434-4210

Fax: (662) 657-1044

Additional Practice Location

913 Plantation Blvd Ste G

Fairhope, Alabama 36532-2993

Phone: (205) 517-7730

Fax: (205) 382-8132

Additional Practice Location

48 Medical Park Dr E Ste 454

Birmingham, Alabama 35235-3400

Phone: (205) 831-9783

Record Information

Enumeration Date
August 3, 2017
Provider's NPPES Record Last Updated
May 14, 2026
Certification Date
May 14, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue