1. Home
  2. Directory
  3. North Carolina
  4. Lincolnton
  5. Counselor
  6. NPI Profile

IMPACT CAROLINA SERVICES INC.
NPI 1376789925
Counselor - Mental Health in Lincolnton, NC

Active since January 05, 2009
106 DOCTORS PARK, LINCOLNTON, NC 28092(704) 533-0277(704) 685-5937 Get Directions Write a Review

NPPES record last updated: January 5, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Impact Carolina Services Inc. NPPES

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

IMPACT CAROLINA SERVICES INC. (NPI 1376789925) is a healthcare organization registered as a mental health in Lincolnton, North Carolina and active in the NPI registry since January 2009. The organization lists Joseph Olatunde Adedokun, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1376789925
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIMPACT CAROLINA SERVICES INC.
Location Address106 DOCTORS PARKLincolnton, NC 28092-4406
Mailing Address3080 Jamestown DrGastonia, NC 28054-6056 · (704) 533-0277 · Fax (704) 864-3355
Phone(704) 533-0277
Fax(704) 685-5937
Organization SubpartNo
Authorized OfficialJoseph Olatunde AdedokunChief Executive Officer · (704) 533-0277
Enumeration DateJanuary 5, 2009
✔ NPI 1376789925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 795
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 795 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 795 (NC)
106 DOCTORS PARK, Lincolnton, NC 28092
Open in Google Maps ↗

Other Identifiers 1

Medicaid6111767NC

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Carolina Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Impact Carolina Services Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Joseph Adedokun, LCAS
Mental Health Counselor
NPI 1760542062
432 E LONG AVE STE 1
Gastonia, NC 28054
(704) 854-9595
✔ PECOS✔ Accepts Medicare14 mi
Esther Adedokun, NP
Nurse Practitioner
NPI 1285379081
134 E REBOUND RD
Lancaster, SC 29720
(803) 712-3987
✔ PECOS✔ Accepts Medicare48 mi
Novlett Campbell
Nurse Practitioner
NPI 1326462524
2645 MERIDIAN PKWY STE 323
Durham, NC 27713
(984) 227-8902
✔ PECOS135 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carolina Services Inc.'s NPI number?

The NPI number for Impact Carolina Services Inc. is 1376789925. It was assigned to this organization in the NPPES registry on January 5, 2009.

Where is Impact Carolina Services Inc. located?

Impact Carolina Services Inc. is located at 106 Doctors Park, Lincolnton, NC 28092. The listed phone number is (704) 533-0277.

What is Impact Carolina Services Inc.'s specialty?

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

Is Impact Carolina Services Inc. enrolled in Medicare?

Yes. Impact Carolina Services Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Carolina Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Impact Carolina Services Inc., in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Impact Carolina Services Inc. was last updated on January 5, 2009. 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.