Impact

Primary specialty

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

Legal business name

IMPACT

Practice address

110 S Apopka Ave
Inverness, FL 34452-4837

Phone

(352) 560-7027

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Myra Ricketts

Title

Director

Phone

(352) 560-7027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1396556296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524837",
            "telephone_number": "352-560-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524837",
            "telephone_number": "352-560-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-560-7027"
    },
    "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": []
}

• Ashley Frayser Huling, RBT
• Kasen Reed Hutchings, MD
• Andrew Huynh, PA-C
• Ineke Bakker Hyatt, ARNP
• William Luke Hydrick
• Impact Counseling and Consulting LLC
• Impact Counseling and Consulting LLC
• Infinita Salutem PA (Moss Chiropractic of Inverness)
• Infinitely Sexual
• Inspired Functional Medicine

• Mental Health Clinic/Center (Including Community Mental Health Center) in Inverness, FL
• Providers in Inverness, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.