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IMPACT LIFE, INC
NPI 1316824527
Counselor - Mental Health in Newark, DE

Active since August 19, 2025CLIA 08D2337365 · Waiver
90 BLUE HEN DR, NEWARK, DE 19713(302) 485-0702 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Life, Inc NPPES

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

IMPACT LIFE, INC (NPI 1316824527), doing business as Impact Life Outpatient Services, is a healthcare organization registered as a mental health in Newark, Delaware and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through January 21, 2028, maintains a secondary practice location in Georgetown, and lists Lauren Steward, Director Of Administration, as its authorized official.

NPPES Registry Identity

NPI1316824527
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIMPACT LIFE, INC
Location Address90 BLUE HEN DRNewark, DE 19713-3406
Mailing AddressPo Box 1269Hockessin, DE 19707-5269
Phone(302) 485-0702
Organization SubpartYes
Authorized OfficialLauren StewardDirector Of Administration · (302) 388-1828
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1316824527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
90 BLUE HEN DR, Newark, DE 19713
Open in Google Maps ↗

Other Names 1

Doing Business AsImpact Life Outpatient Services

Secondary Practice Location 1

Location 1112 N Bedford StGeorgetown, DE 19947-1466 · Phone (302) 485-0702

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2337365

Impact Life Inc., Outpatient Services · Newark, DE
Active · expires Jan 21, 2028
CLIA Number08D2337365
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorDr. Mark Harris
Laboratory Phone(443) 981-9443
Laboratory LocationImpact Life Inc., Outpatient Services90 Blue Hen Drive, Newark, DE 19713
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

JENNIFER L MUZZI
Dietitian, Registered
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
JENNIFER CALAHAN NCC, LPCMH
Counselor (Mental Health)
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
DOMENICA A PERSONTI
Counselor (Addiction (Substance Use Disorder))
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
EMILY MCBRIDE CADC
Counselor (Addiction (Substance Use Disorder))
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
NICOLE ANN TAYLOR
Counselor (Addiction (Substance Use Disorder))
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
VICTORIA DOVER
Nurse Practitioner (Psychiatric/Mental Health)
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702
IMPACT LIFE, INC
Family Medicine
90 BLUE HEN DR
NEWARK, DE 19713
New Castle County (302) 485-0702

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 Life, Inc's NPI number?

The NPI number for Impact Life, Inc is 1316824527. It was assigned to this organization in the NPPES registry on August 19, 2025. The provider is doing business as Impact Life Outpatient Services.

Where is Impact Life, Inc located?

Impact Life, Inc is located at 90 Blue Hen Dr, Newark, DE 19713. The listed phone number is (302) 485-0702.

What is Impact Life, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Impact Life, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2337365) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Impact Life, Inc was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.