Impact Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMPACT BEHAVIORAL HEALTH LLC

Practice address

3000 Market St NE
Salem, OR 97301-1882

Phone

(971) 601-8042

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jean Claude Matabaro

Title

Manager

Phone

(971) 601-8042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Cynthia Shaver, LPC

  • Professional Counselor
  • Salem, OR
  • NPI 1417296872
  Medicare reassignment NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1295512515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "971-601-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "971-601-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MATABARO",
        "authorized_official_first_name": "JEAN CLAUDE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "971-601-8042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayna Ashley Kahealani Ignacio Mac Guyer
• Igor Sitnik DMD, PC
• Rebekkah Anne Igou, CADC I
• Matthew Yoshio Iguchi, PHARM.D.
• Marissa L Illingworth, CRM PSS
• Independent Anywhere LLC
• Infocus Counseling Services
• Susanne Ingels, N.P.
• Robert Maurice Ingle Jr., M.D.
• Desmond Inglis

• Community/Behavioral Health Agency in Salem, OR
• Providers in Salem, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.