Impact4Today, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IMPACT4TODAY, PLLC

Practice address

822 N Elm St Ste 109
Greensboro, NC 27401-1538

Phone

(336) 329-8506

Fax

(336) 510-4434

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Dail McMillan, MS, LCAS, LCMHC, CHTNPI 1306897947

Title

Clinician/ Owner

Phone

(336) 329-8506

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Dail McMillan, MS,LCAS, LCMHC, CCS

  • Professional Counselor
  • Greensboro, NC
  • NPI 1306897947
  NPD Authorized official

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1205523917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N ELM ST STE 109",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011538",
            "telephone_number": "336-329-8506",
            "fax_number": "336-510-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N ELM ST STE 109",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011538",
            "telephone_number": "336-329-8506",
            "fax_number": "336-510-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT4TODAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAIL",
        "authorized_official_title_or_position": "CLINICIAN/ OWNER",
        "authorized_official_telephone_number": "336-329-8506",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LCAS, LCMHC, CHT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.