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THE HEALING IMPACT, INC
NPI 1154988772
Social Worker - Clinical in Shalimar, FL

Active since May 20, 2019
4 9TH AVE STE F, SHALIMAR, FL 32579(850) 420-9317(850) 505-3078 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Sep 30, 2021, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

About The Healing Impact, Inc NPPES

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

THE HEALING IMPACT, INC (NPI 1154988772), doing business as The Healing Impact Llc, is a healthcare organization registered as a clinical in Shalimar, Florida and active in the NPI registry since May 2019. The organization maintains 2 additional practice locations and lists Amy Ellis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154988772
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE HEALING IMPACT, INC
Location Address4 9TH AVE STE FShalimar, FL 32579-1742
Mailing Address5170 Annie Ruth StMilton, FL 32570-8153 · (850) 420-9317 · Fax (850) 505-3078
Phone(850) 420-9317
Fax(850) 505-3078
Organization SubpartNo
Authorized OfficialAmy EllisCeo · (850) 261-9032
Enumeration DateMay 20, 2019
Last NPPES UpdateMay 20, 20254 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1154988772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4 9TH AVE STE F, Shalimar, FL 32579
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Other Names 1

Former Legal Business NameThe Healing Impact Llc

Secondary Practice Locations 2

Location 14300 Bayou Blvd Ste 30Pensacola, FL 32503-2671 · Phone (850) 420-9317 · Fax (850) 505-3078
Location 24100 S Ferdon Blvd Ste B4Crestview, FL 32536-5287 · Phone (850) 420-9317 · Fax (850) 505-3078

Other Identifiers 3

Other1345573506FL · Npi
Other1154988772FL · Npi
Other1861792467Npi

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Other Providers at the Same Location NPPES 2

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

ANNA PEARCE LCSW
Counselor (Mental Health)
4 9TH AVE STE F
SHALIMAR, FL 32579
Okaloosa County (850) 290-2145
MS. ARIYA F MCGRORY LCSW
Social Worker (Clinical)
4 9TH AVE STE F
SHALIMAR, FL 32579
Okaloosa County (509) 999-9414

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 The Healing Impact, Inc's NPI number?

The NPI number for The Healing Impact, Inc is 1154988772. It was assigned to this organization in the NPPES registry on May 20, 2019. The provider was formerly known as The Healing Impact LLC.

Where is The Healing Impact, Inc located?

The Healing Impact, Inc is located at 4 9th Ave Ste F, Shalimar, FL 32579. The listed phone number is (850) 420-9317.

What is The Healing Impact, Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does The Healing Impact, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list The Healing Impact, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Healing Impact, Inc was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.