Major Impact Supports Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MAJOR IMPACT SUPPORTS INC

Practice address

1960 Velasco St Ste J2
Fort Myers, FL 33916-2761

Phone

(239) 226-4357

Fax

(239) 226-4352

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Clayton Lambert Major Sr., MSNPI 1609005883

Title

President

Phone

(239) 226-4357

Specialties & licenses 4

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton Lambert Major Sr., MS

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1609005883

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1114650728",
    "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": "239-226-4357",
            "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": "239-226-4357",
            "fax_number": "239-226-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 E Cowboy Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "LaBelle",
            "state": "FL",
            "postal_code": "339354445",
            "country_code": "US",
            "telephone_number": "239-226-4357",
            "fax_number": "239-226-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAJOR IMPACT SUPPORTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-226-4357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cmajor@majorimpactsupportsinc.com",
            "affiliation": "N",
            "endpointDescription": "cmajor@majorimpactsupportsinc.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "cmajor@majorimpactsupportsinc.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmajor@majorimpactsupportsinc.com",
            "affiliation": "N",
            "endpointDescription": "cmajor@majorimpactsupportsinc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cmajor@majorimpactsupportsinc.com",
            "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": []
}

• David Paul Maile, LMT
• Main Street Children'S Dentistry and Orthodontics of Ft. Myers, P.a.
• Mainstream Physical Therapy LLC
• Jessica Maitre, DNP, APRN
• Major Impact Support Services, Inc
• Major Impact, Inc.
• Major Impact, Inc.
• Clayton Lambert Major Sr., MS
• Cynthia M Major, CNP, APRN
• Karen M Major, AU.D.,F-AAA

• Addiction (Substance Use Disorder) Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.