Major Impact, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2036AD2405-01 Issued in FL

Legal business name

MAJOR IMPACT, INC.

Practice address

1960 Velasco St
Suite J-2
Fort Myers, FL 33916-2761

Phone

(239) 226-4357

Fax

(239) 226-4352

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Clayton Lambert Major Sr., M.S.

Title

Co-Owner

Phone

(239) 226-4357

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Major Impact, Inc. Doing business as

Tax ID family

Major Impact Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Major Impact, Inc.

  • Case Management Agency
  • Fort Myers, FL
  • NPI 1104113810
  NPD tax ID

Locations

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1407211535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 VELASCO ST",
            "address_2": "SUITE J-2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162761",
            "telephone_number": "239-226-4357",
            "fax_number": "239-226-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 VELASCO ST",
            "address_2": "SUITE J-2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162761",
            "telephone_number": "239-226-4357",
            "fax_number": "239-226-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR IMPACT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "239-226-4357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2036AD2405-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003799000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Major Impact, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainstream Physical Therapy LLC
• Jessica Maitre, DNP, APRN
• Major Impact Support Services, Inc
• Major Impact Supports Inc
• Major Impact, Inc.
• Clayton Lambert Major Sr., MS
• Cynthia M Major, CNP, APRN
• Karen M Major, AU.D.,F-AAA
• Theresa Major, CCC-SLP
• Melanie Makar, ARNP

• Addiction (Substance Use Disorder) Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.