NPIMap

Organization Active NPI

Impact Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Andover, OH
National Provider Identifier
1306613823
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
IMPACT RECOVERY SERVICES
Practice address
158 W Main St
Andover, OH 44003-9318
Phone
(440) 895-7356
NPI assigned
Dec 5, 2023
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
IMPACTHERAPEUTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Christen Sonoski, LICDCNPI 1720585870
Title
Ceo
Phone
(216) 800-8799

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

158 W Main St
Andover, OH 44003-9318

Mailing address

158 W Main St
Andover, OH 44003-9318
Phone (216) 800-8700

National Provider Directory

National Provider Directory
Tax ID family
Impact Recovery Services2 organizations share this tax ID, including this one
Part of
Impact Recovery Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 W Main St
Andover, OH 44003

158 W Main St
Andover, OH 44003
Phone (216) 800-8700

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1306613823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039318",
            "telephone_number": "216-800-8700",
            "fax_number": "216-353-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039318",
            "telephone_number": "440-895-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT RECOVERY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPACTHERAPEUTICS LLC",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "SONOSKI",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-800-8799",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.