IMPACT COUNSELING AND CONSULTING LLC
NPI 1487320883
Community/Behavioral Health in Inverness, FL

Q: What is Impact Counseling And Consulting LLC's NPI number?

The NPI number for Impact Counseling And Consulting LLC is 1487320883. It was assigned to this organization in the NPPES registry on August 17, 2021.

Q: What is Impact Counseling And Consulting LLC's specialty?

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

Active since August 17, 2021

110 S APOPKA AVE, INVERNESS, FL 34452(362) 560-7027 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2022, Feb 28, 2022, Sep 8, 2021 and 1 more (4 updates tracked since 2021).

On this page

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 1487320883) is a healthcare organization registered as a community/behavioral health in Inverness, Florida and active in the NPI registry since August 2021. The organization lists Myra Fairline Ricketts, Owner, as its authorized official.

NPPES Registry Identity

NPI1487320883

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameIMPACT COUNSELING AND CONSULTING LLC

Location Address110 S APOPKA AVEInverness, FL 34452-4837

Mailing Address110 S Apopka AveInverness, FL 34452-4837

Phone(362) 560-7027

Organization SubpartNo

Authorized OfficialMyra Fairline RickettsOwner · (352) 587-2378

Enumeration DateAugust 17, 2021

Last NPPES UpdateNovember 15, 20224 updates tracked since enumeration

NPPES CertifiedNovember 15, 2022

✔ NPI 1487320883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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

110 S APOPKA AVE, Inverness, FL 34452

Open in Google Maps ↗

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 Counseling And Consulting Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Impact Counseling And Consulting LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dianne Doane-Bustetter, PMHNP

Nurse Practitioner

NPI 1790218501

2440 N ESSEX AVE
Citrus Hills, FL 34442

(352) 558-8054

✔ PECOS✔ Accepts Medicare7.7 mi

Hysintine Palle, APRN

Nurse Practitioner

NPI 1609368414

2971 PARK POND WAY
Kissimmee, FL 34741

(407) 775-2121

✔ PECOS✔ Accepts Medicare64 mi

Dianne Giammarco, LCSW

Clinical Social Worker

NPI 1871633115

1041 45TH ST
West Palm Beach, FL 33407

(561) 383-8000

✔ PECOS199 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 And Consulting LLC's NPI number?

The NPI number for Impact Counseling And Consulting LLC is 1487320883. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is Impact Counseling And Consulting LLC located?

Impact Counseling And Consulting LLC is located at 110 S Apopka Ave, Inverness, FL 34452. The listed phone number is (362) 560-7027.

What is Impact Counseling And Consulting LLC's specialty?

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

Is Impact Counseling And Consulting LLC enrolled in Medicare?

Yes. Impact Counseling And Consulting LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Counseling And Consulting LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Impact Counseling And Consulting LLC, in Clinical Social Worker 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. Of these, 1 practice within 10 miles. 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 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.