Impact Prevention

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMPACT PREVENTION

Practice address

22 Private Drive 2824 Apt B
South Point, OH 45680-7109

Phone

(740) 646-1922

NPI assigned

Jul 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John K. Goodwin, OCPS II

Title

Human Resources/Co Owner

Phone

(740) 646-1922

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1043663925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456800809",
            "telephone_number": "740-646-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PRIVATE DRIVE 2824 APT B",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807109",
            "telephone_number": "740-646-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "HUMAN RESOURCES/CO OWNER",
        "authorized_official_telephone_number": "740-646-1922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OCPS II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Shae Howard I
• Collin Ray Howell
• Alyssa Dawnelle Hudson MSW,LSW
• Timothy Huffman, CDCA
• Donna Hunt
• Inspirational Hope and Wellness LLC
• Ironton & Lawrence County Area Community Action Organization
• Ironton & Lawrence County Area Community Action Organization
• Ironton & Lawrence Countyarea Community Action Organization
• Jakki Jackson

• Community/Behavioral Health Agency in South Point, OH
• Providers in South Point, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.