MAJOR IMPACT SUPPORT SERVICES, INC
NPI 1093468274
Community/Behavioral Health in Fort Myers, FL
- Organization
- Community/Behavioral Health
- CLIA Number: 10D2151748
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-25-2026
About MAJOR IMPACT SUPPORT SERVICES, INC
This page provides the complete NPI Profile along with additional information for Major Impact Support Services, Inc, a provider established in Fort Myers, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1093468274 assigned on January 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Clayton Lambert Major Sr. Ms (Owner)
- NPI
- 1093468274 Verify this NPI
- Provider Name
- MAJOR IMPACT SUPPORT SERVICES, INC
- Entity Type
- Organization
- Location Address
- 1960 VELASCO ST STE J2 FORT MYERS, FL 33916
- Location Phone
- (239) 226-4657
- Location Fax
- (239) 226-4352
- Mailing Address
- 1960 VELASCO ST STE J2 FORT MYERS, FL 33916
- Mailing Phone
- (239) 226-4657
- Mailing Fax
- (239) 226-4352
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-28-2022
- Last Update Date
- 01-28-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2151748
- Facility Type
- Independent
- Certificate Effective Date
- July 26, 2024
- Certificate Expiration Date
- July 25, 2026
- Laboratory Director
- CLAYTON L. MAJOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Major Impact Support Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MAJOR IMPACT SUPPORT SERVICES, INC
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
FORT MYERS, FL 33916
FORT MYERS, FL 33916
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093468274, enumerated as an "organization" on January 28, 2022.
The provider is located at 1960 VELASCO ST STE J2 FORT MYERS, FL 33916 and the phone number is (239) 226-4657.
Community/Behavioral Health with taxonomy code 251S00000X.
