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IMPACT
NPI 1194973586
Community/Behavioral Health in Gastonia, NC

Active since August 28, 2008
3080 JAMESTOWN DR, GASTONIA, NC 28054(704) 718-3480(704) 852-4488 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact NPPES

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

IMPACT (NPI 1194973586) is a healthcare organization registered as a community/behavioral health in Gastonia, North Carolina and active in the NPI registry since August 2008. The organization lists Joseph Adedokun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194973586
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameIMPACT
Location Address3080 JAMESTOWN DRGastonia, NC 28054-6056
Mailing Address3080 Jamestown DrGastonia, NC 28054-6056 · (704) 718-3480 · Fax (704) 852-4488
Phone(704) 718-3480
Fax(704) 852-4488
Organization SubpartNo
Authorized OfficialJoseph AdedokunCeo · (704) 718-3480
Enumeration DateAugust 28, 2008
✔ NPI 1194973586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · 795
Definition
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.
3080 JAMESTOWN DR, Gastonia, NC 28054
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Other Identifiers 1

Medicaid6111767NC

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 Impact's NPI number?

The NPI number for Impact is 1194973586. It was assigned to this organization in the NPPES registry on August 28, 2008.

Where is Impact located?

Impact is located at 3080 Jamestown Dr, Gastonia, NC 28054. The listed phone number is (704) 718-3480.

What is Impact's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Impact was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.