1. Home
  2. Directory
  3. Florida
  4. Crystal River
  5. Community Behavioral Health
  6. NPI Profile

IMPACT COUNSELING AND CONSULTING LLC
NPI 1336858711
Community/Behavioral Health in Crystal River, FL

Active since November 15, 2022
582 SE 7TH AVE STE B, CRYSTAL RIVER, FL 34429(352) 228-8829 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Counseling And Consulting Llc NPPES

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

IMPACT COUNSELING AND CONSULTING LLC (NPI 1336858711) is a healthcare organization registered as a community/behavioral health in Crystal River, Florida and active in the NPI registry since November 2022. The organization lists Myra Fairline Ricketts, Director, as its authorized official.

NPPES Registry Identity

NPI1336858711
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameIMPACT COUNSELING AND CONSULTING LLC
Location Address582 SE 7TH AVE STE BCrystal River, FL 34429-4840
Mailing Address582 Se 7th Ave Ste BCrystal River, FL 34429-4840 · (352) 228-8829
Phone(352) 228-8829
Organization SubpartNo
Authorized OfficialMyra Fairline RickettsDirector · (352) 587-2378
Enumeration DateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1336858711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
582 SE 7TH AVE STE B, Crystal River, FL 34429
Open in Google Maps ↗

Other Identifiers 1

Medicaid101703300FL

Other Providers at the Same Location NPPES 4

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

SHAHEDRA WARD-KING
Drama Therapist
582 SE 7TH AVE STE B
CRYSTAL RIVER, FL 34429
Citrus County (352) 228-8829
ELLEN FOWLER
Counselor
582 SE 7TH AVE STE B
CRYSTAL RIVER, FL 34429
Citrus County (352) 228-8829
TORI ERIKSSON
Counselor (School)
582 SE 7TH AVE STE B
CRYSTAL RIVER, FL 34429
Citrus County (352) 228-8829
RAVEN LESURE MS
Counselor (Mental Health)
582 SE 7TH AVE STE B
CRYSTAL RIVER, FL 34429
Citrus County (352) 228-8829

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 Counseling And Consulting LLC's NPI number?

The NPI number for Impact Counseling And Consulting LLC is 1336858711. It was assigned to this organization in the NPPES registry on November 15, 2022.

Where is Impact Counseling And Consulting LLC located?

Impact Counseling And Consulting LLC is located at 582 SE 7th Ave Ste B, Crystal River, FL 34429. The listed phone number is (352) 228-8829.

What is Impact Counseling And Consulting LLC'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 Counseling And Consulting LLC was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.