Active NPI
Impact Healthcare and Wellness
Doing business as Impact Mental Healthcare and Wellness
- Case Management Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- IMPACT HEALTHCARE AND WELLNESS
- Doing business as
- Impact Mental Healthcare and Wellness
- Practice address
- 7118 Champions Centre Estate Dr
Houston, TX 77069-2347 - Phone
- (832) 432-0303
- NPI assigned
- Apr 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Danielle S. Patton, LPC, NCC
- Title
- License Professional Counselor
- Phone
- (832) 432-0303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
7118 Champions Centre Estate Dr
Houston, TX 77069-2347
Mailing address
7118 Champions Centre Estate Dr
Houston, TX 77069-2347
Phone (832) 814-6167
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-8562783 | Other | TX | BLUE CROSS BLUE SHIELD |
| 878562783 | Other | TX | AMERIGROUP |
Other names 1
- Impact Mental Healthcare and Wellness
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SimplePractice | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13910 Champion Forest Dr
Ste 111
Houston, TX 77069
Phone (832) 432-0301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Tomball, TX
- NPI 1679158950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1073257325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7118 CHAMPIONS CENTRE ESTATE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770692347",
"telephone_number": "832-814-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7118 CHAMPIONS CENTRE ESTATE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770692347",
"telephone_number": "832-432-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT HEALTHCARE AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-22",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "832-432-0303",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "87-8562783",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "878562783",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7118 Champions Centre Estate Dr",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770692347",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Impact Mental Healthcare and Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Impact Mental Healthcare and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.