Organization Active NPI

Impactful Therapy PLLC

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1215859459
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IMPACTFUL THERAPY PLLC
Practice address
1 E Benton St Ste 302
Aurora, IL 60505-4200
Phone
(630) 945-0082
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Elizabeth Janel Godinho, LCSWNPI 1245012087
Title
Owner
Phone
(630) 945-0082

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 E Benton St Ste 302
Aurora, IL 60505-4200

Mailing address

2212 Lynn Dr
Montgomery, IL 60538-4020
Phone (630) 945-0082

National Provider Directory

National Provider Directory

Locations

1 E Benton St
Ste 302
Aurora, IL 60505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1215859459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 LYNN DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605384020",
            "telephone_number": "630-945-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BENTON ST STE 302",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054200",
            "telephone_number": "630-945-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTFUL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "GODINHO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JANEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-945-0082",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.