IMPACT COMMUNITY RESOURCES
NPI 1356069264
Community/Behavioral Health in Charlotte, NC

Q: What is Impact Community Resources's NPI number?

The NPI number for Impact Community Resources is 1356069264. It was assigned to this organization in the NPPES registry on August 16, 2022.

Q: What is Impact Community Resources's specialty?

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

Active since August 16, 2022

301 MCCULLOUGH DR, CHARLOTTE, NC 28262(980) 276-5142 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Jan 5, 2023, Aug 23, 2022 and 1 more (4 updates tracked since 2022).

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About Impact Community Resources NPPES

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

IMPACT COMMUNITY RESOURCES (NPI 1356069264) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since August 2022. The organization lists Carlita J Randall, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1356069264

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameIMPACT COMMUNITY RESOURCES

Location Address301 MCCULLOUGH DRCharlotte, NC 28262-3310

Mailing Address7911 Bella Vista CtCharlotte, NC 28216-2044 · (704) 918-7966

Phone(980) 276-5142

Organization SubpartNo

Authorized OfficialCarlita J RandallClinical Director · (412) 977-1273

Enumeration DateAugust 16, 2022

Last NPPES UpdateJune 4, 20254 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1356069264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · SchoolTaxonomy 101YS0200X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedRespite CareTaxonomy 385H00000X

301 MCCULLOUGH DR, Charlotte, NC 28262

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Other Providers at the Same Location NPPES 20

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

SIMPLIFIED HEALTH SERVICES, PLLC

Home Infusion

301 MCCULLOUGH DR, SUITE 400
CHARLOTTE, NC 28262

Mecklenburg County (980) 216-6876

ALLIANCE - CAP SERVICES

Home Health

301 MCCULLOUGH DR, 4TH FLOOR
CHARLOTTE, NC 28262

Mecklenburg County (704) 652-1955

BLUEPRINT SOCIAL HEALTH, LLC

Community/Behavioral Health

301 MCCULLOUGH DR, 4TH FLOOR
CHARLOTTE, NC 28262

Mecklenburg County (704) 444-0062

ALTERNATIVE CARE SOLUTIONS, INC

Case Management

301 MCCULLOUGH DR
CHARLOTTE, NC 28262

Mecklenburg County (704) 909-2817

HOPE IN THE END

Community/Behavioral Health

301 MCCULLOUGH DR
CHARLOTTE, NC 28262

Mecklenburg County (704) 512-1314

CARTER'S CIRCLE OF CARE INC .

Community/Behavioral Health

301 MCCULLOUGH DR, SUITE 453
CHARLOTTE, NC 28262

Mecklenburg County (704) 909-2892

LAKESHA NANCE

Registered Nurse

301 MCCULLOUGH DR
CHARLOTTE, NC 28262

Mecklenburg County (704) 649-9904

ALISCHA IESCHA RODGERS MA, LPC

Counselor (Mental Health)

301 MCCULLOUGH DR, 4TH FLOOR
CHARLOTTE, NC 28262

Mecklenburg County (704) 909-2757

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 Community Resources's NPI number?

The NPI number for Impact Community Resources is 1356069264. It was assigned to this organization in the NPPES registry on August 16, 2022.

Where is Impact Community Resources located?

Impact Community Resources is located at 301 Mccullough Dr, Charlotte, NC 28262. The listed phone number is (980) 276-5142.

What is Impact Community Resources'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 Community Resources was last updated on June 4, 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.