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IMPACT MENTAL HEALTH THERAPY LLC
NPI 1720713837
Counselor - Mental Health in Green Bay, WI

Active since July 21, 2022
2300 RIVERSIDE DR, GREEN BAY, WI 54301(507) 696-4034 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Mental Health Therapy Llc NPPES

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

IMPACT MENTAL HEALTH THERAPY LLC (NPI 1720713837) is a healthcare organization registered as a mental health in Green Bay, Wisconsin and active in the NPI registry since July 2022. The organization lists Hallie M Barbara, President, as its authorized official.

NPPES Registry Identity

NPI1720713837
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIMPACT MENTAL HEALTH THERAPY LLC
Location Address2300 RIVERSIDE DRGreen Bay, WI 54301-1900
Mailing Address2250 Meadow Ridge DrDe Pere, WI 54115-7200 · (507) 696-4034
Phone(507) 696-4034
Organization SubpartNo
Authorized OfficialHallie M BarbaraPresident · (507) 696-4034
Enumeration DateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1720713837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2300 RIVERSIDE DR, Green Bay, WI 54301
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JESSE F KUSSEROW LPC
Counselor (Professional)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 541-6646
GOODINE COUNSELING LTD
Community/Behavioral Health
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 362-0447
ERIC LOVE
Non-emergency Medical Transport (VAN)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 757-2177
MRS. HALLIE MARIE BARBARA LPC
Counselor (Mental Health)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (507) 696-4034
CELIA J GARDNER LPC
Counselor (Professional)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Brown County (920) 393-7995

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 Mental Health Therapy LLC's NPI number?

The NPI number for Impact Mental Health Therapy LLC is 1720713837. It was assigned to this organization in the NPPES registry on July 21, 2022.

Where is Impact Mental Health Therapy LLC located?

Impact Mental Health Therapy LLC is located at 2300 Riverside Dr, Green Bay, WI 54301. The listed phone number is (507) 696-4034.

What is Impact Mental Health Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Impact Mental Health Therapy LLC was last updated on July 21, 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.