IMPACT THERAPY, PLLC
NPI 1619763299
Counselor - Addiction (Substance Use Disorder) in Mandan, ND

Active since April 18, 2025
3426 BAY SHORE BND SE, MANDAN, ND 58554(701) 516-6980 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Therapy, Pllc NPPES

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

IMPACT THERAPY, PLLC (NPI 1619763299) is a healthcare organization registered as an addiction (substance use disorder) in Mandan, North Dakota and active in the NPI registry since April 2025. The organization lists Heather Moser, Owner, as its authorized official.

NPPES Registry Identity

NPI1619763299
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameIMPACT THERAPY, PLLC
Location Address3426 BAY SHORE BND SEMandan, ND 58554-6259
Mailing Address3426 Bay Shore Bnd SeMandan, ND 58554-6259 · (701) 516-6980
Organization SubpartNo
Authorized OfficialHeather MoserOwner · (701) 516-6980
Enumeration DateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1619763299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3426 BAY SHORE BND SE, Mandan, ND 58554

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
3426 BAY SHORE BND SE
MANDAN, ND 58554

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 Therapy, PLLC's NPI number?

The NPI number for Impact Therapy, PLLC is 1619763299. It was assigned to this organization in the NPPES registry on April 18, 2025.

Where is Impact Therapy, PLLC located?

Impact Therapy, PLLC is located at 3426 Bay Shore Bnd SE, Mandan, ND 58554. The listed phone number is (701) 516-6980.

What is Impact Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Impact Therapy, PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota list Impact Therapy, PLLC 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 Therapy, PLLC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.