IMPACT THERAPY LLC
NPI 1881332922
Counselor - Mental Health in Union City, GA
About Impact Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT THERAPY LLC (NPI 1881332922) is a healthcare organization registered as a mental health in Union City, Georgia and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Turnmeika Smith, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2332491
Impact Therapy, LLC · Riverdale, GAFrequently 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 LLC's NPI number?
The NPI number for Impact Therapy LLC is 1881332922. It was assigned to this organization in the NPPES registry on May 26, 2022.
Where is Impact Therapy LLC located?
Impact Therapy LLC is located at 627 Noric Cv, Union City, GA 30291. The listed phone number is (404) 662-0504.
What is Impact Therapy LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Impact Therapy LLC enrolled in Medicare?
Yes. Impact Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Impact Therapy LLC. 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.
Does Impact Therapy LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2332491) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Impact Therapy LLC was last updated on October 3, 2023. 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.
# Impact Therapy Llc · NPI 1881332922
Mental Health organization in Union City, Georgia. Organization record, active in the CMS NPPES registry since May 26, 2022.
## Identity
- **NPI:** 1881332922 (Entity type: Organization)
- **Enumerated:** May 26, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Turnmeika Smith, CEO
## Practice location
- **Address:** 627 NORIC CV, Union City, GA 30291-3456
- **Phone:** (404) 662-0504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881332922) · Data from the CMS NPPES public registry.