Positive Impact Solution

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

POSITIVE IMPACT SOLUTION

Practice address

4749 Lincoln Mall Dr Ste 100
Matteson, IL 60443-3806

Phone

(312) 857-6175

Fax

(773) 901-3764

NPI assigned

Nov 17, 2025

Organization subpart

No

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

Authorized official

Name

Aaron White Johnson

Title

Ceo

Phone

(630) 926-9386

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1124988506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR STE 100",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433806",
            "telephone_number": "312-857-6175",
            "fax_number": "773-901-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR STE 100",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433806",
            "telephone_number": "312-857-6175",
            "fax_number": "773-901-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMPACT SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "WHITE JOHNSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-926-9386"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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": [],
    "endpoints": [],
    "other_names": []
}

• Charity Polk
• Renee Polk
• Anthony Allen Poole Sr., MPA, MAC, CCJS
• Lesa E. Porter, LPC
• Malaya Janae Porter
• Prince&Princess
• Joseph Probst
• Progressive Dental & Associates, PC
• Project Thrive
• Prosperity Healthcare Agency

• Adult Mental Health Clinic/Center in Matteson, IL
• Providers in Matteson, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.