Active NPI
Major Impact Support Services, Inc
- Community/Behavioral Health Agency
- Fort Myers, FL
National Provider Identifier
1093468274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MAJOR IMPACT SUPPORT SERVICES, INC
- Practice address
- 1960 Velasco St Ste J2
Fort Myers, FL 33916-2761 - Phone
- (239) 226-4657
- Fax
- (239) 226-4352
- NPI assigned
- Jan 28, 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
- Mr. Clayton Lambert Major Sr., MS
- Title
- Owner
- Phone
- (239) 226-4357
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
1960 Velasco St Ste J2
Fort Myers, FL 33916-2761
Mailing address
1960 Velasco St Ste J2
Fort Myers, FL 33916-2761
Phone (239) 226-4657
Other names 1
- Major Impact Support Services, Inc.
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cmajor@majorimpactsupportservices.org | Direct | |
| CONNECT URL | cmajor@majorimpactsupportservices.org |
National Provider Directory
National Provider Directory- Tax ID family
- Major Impact Support Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Tampa, FL
- NPI 1952967887
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fort Myers, FL
- NPI 1609005883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643328000000",
"number": "1093468274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 VELASCO ST STE J2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162761",
"telephone_number": "239-226-4657",
"fax_number": "239-226-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 VELASCO ST STE J2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162761",
"telephone_number": "239-226-4657",
"fax_number": "239-226-4352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAJOR IMPACT SUPPORT SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A",
"authorized_official_last_name": "MAJOR",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "LAMBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-226-4357",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cmajor@majorimpactsupportservices.org",
"affiliation": "N",
"endpointDescription": "Major Impact Support Services, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1960 Velasco St Ste J2",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339162761",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cmajor@majorimpactsupportservices.org",
"affiliation": "N",
"endpointDescription": "Major Impact Support Services, Inc.",
"address_1": "1960 Velasco St Ste J2",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339162761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Major Impact Support Services, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.