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IMPACT COUNSELING SERVICES, INC.
NPI 1396312658
Counselor - Mental Health in Georgetown, TX

Active since June 07, 2021
3613 WILLIAMS DR STE 302, GEORGETOWN, TX 78628(512) 713-9886(737) 277-5546 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2022, Jun 7, 2021 (2 updates tracked since 2021).

About Impact Counseling Services, Inc. NPPES

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

IMPACT COUNSELING SERVICES, INC. (NPI 1396312658) is a healthcare organization registered as a mental health in Georgetown, Texas and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Georgetown and lists Candi Gadison, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396312658
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIMPACT COUNSELING SERVICES, INC.
Location Address3613 WILLIAMS DR STE 302Georgetown, TX 78628-1369
Mailing Address3613 Williams Dr Ste 302Georgetown, TX 78628-1369 · (512) 713-9886 · Fax (737) 277-5546
Phone(512) 713-9886
Fax(737) 277-5546
Organization SubpartNo
Authorized OfficialCandi GadisonExecutive Director · (512) 713-9886
Enumeration DateJune 7, 2021
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1396312658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3613 WILLIAMS DR STE 302, Georgetown, TX 78628
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Other Names 1

Doing Business AsImpact Counseling Services, Inc.

Secondary Practice Location 1

Location 1805 W University AveGeorgetown, TX 78626-6507 · Phone (512) 713-9886 · Fax (737) 277-5546

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health.Insurance ›

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 Counseling 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 Counseling Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Candi Gadison, LCSW
Clinical Social Worker
NPI 1265735302
3613 WILLIAMS DR STE 302
Georgetown, TX 78628
(512) 966-1074
✔ PECOSSame address
Iiona Virgin
Clinical Social Worker
NPI 1861362881
2100 SCENIC DR STE 140
Georgetown, TX 78626
(512) 713-9886
✔ PECOS3.2 mi
Mariah Owen, LCSW
Clinical Social Worker
NPI 1619752417
2100 SCENIC DR STE 104A
Georgetown, TX 78626
(512) 365-1391
✔ PECOS✔ Accepts Medicare3.2 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 Counseling Services, Inc.'s NPI number?

The NPI number for Impact Counseling Services, Inc. is 1396312658. It was assigned to this organization in the NPPES registry on June 7, 2021.

Where is Impact Counseling Services, Inc. located?

Impact Counseling Services, Inc. is located at 3613 Williams Dr Ste 302, Georgetown, TX 78628. The listed phone number is (512) 713-9886.

What is Impact Counseling Services, Inc.'s specialty?

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

Is Impact Counseling Services, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Impact Counseling Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Impact Counseling Services, Inc.. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Impact Counseling Services, Inc. accept?

Health plans from Blue Cross and Blue Shield of Texas and Harbor Health list Impact Counseling Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impact Counseling Services, Inc. was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.