NPIMap

Organization Active NPI

Impact Living Services

  • Professional Counselor
  • Forest, VA
National Provider Identifier
1487054342
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
IMPACT LIVING SERVICES
Practice address
316 Brook Park PL Ste A1
Forest, VA 24551-2766
Phone
(434) 533-1088
Fax
(434) 664-1177
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Janie Duncan
Title
Credentialing Specialist
Phone
(434) 533-1088

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

316 Brook Park PL Ste A1
Forest, VA 24551-2766

Mailing address

316 Brook Park PL Ste A1
Forest, VA 24551-2766
Phone (434) 533-1088

Other practice location 1

1454 Mexico Way NE
Roanoke, VA 24012-6476
Phone (434) 533-1088

Other practice location 2

313 Neff Ave Ste A
Harrisonburg, VA 22801-3495
Phone (434) 533-1088

Other practice location 3

629 Phoenix Dr Ste 130
Virginia Beach, VA 23452-7392
Phone (434) 533-1088

Other practice location 4

402 E Main St
Bedford, VA 24523-2017
Phone (434) 533-1088

Other practice location 5

10519 Braddock Rd Ste B
Fairfax, VA 22032-2278
Phone (434) 533-1088

Other practice location 6

268 Court St
Appomattox, VA 24522-5609
Phone (434) 533-1088

National Provider Directory

National Provider Directory

Locations

268 Court St
Appomattox, VA 24522

402 E Main St
Bedford, VA 24523
Phone (434) 533-1088

10519 Braddock Rd
Ste B
Fairfax, VA 22032

316 Brook Park Pl
Forest, VA 24551
Phone (434) 229-7915

316 Brook Park Pl
Ste A1
Forest, VA 24551
Phone (434) 533-1088

313 Neff Ave
Harrisonburg, VA 22801
Phone (540) 434-1200

630 Wyndhurst Dr
Apt F
Lynchburg, VA 24502
Phone (434) 533-1088

1454 Mexico Way NE
Roanoke, VA 24012
Phone (434) 515-3529

629 Phoenix Dr
Ste 130
Virginia Beach, VA 23452
Phone (757) 957-3191

Practitioners & affiliated clinicians

Practitioners 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1487054342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BROOK PARK PL STE A1",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512766",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BROOK PARK PL STE A1",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512766",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1454 Mexico Way NE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240126476",
            "country_code": "US",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Neff Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228013495",
            "country_code": "US",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 Phoenix Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527392",
            "country_code": "US",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "VA",
            "postal_code": "245232017",
            "country_code": "US",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10519 Braddock Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220322278",
            "country_code": "US",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "268 Court St",
            "address_purpose": "LOCATION",
            "city": "Appomattox",
            "state": "VA",
            "postal_code": "245225609",
            "country_code": "US",
            "telephone_number": "434-533-1088",
            "fax_number": "434-664-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "434-533-1088"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.