Impact Living Services

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

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Locations

Practitioners 49

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.

• Jenna Adams

  • Counselor
  • Forest, VA
  • NPI 1295609204
  NPD
• Suzanna Grace Bright, LPC

  • Mental Health Counselor
  • Forest, VA
  • NPI 1538816699
  NPD
• Jarel Brown

  • Professional Counselor
  • Forest, VA
  • NPI 1972126365
  NPD
• Avigyil Buehler

  • Professional Counselor
  • Forest, VA
  • NPI 1447925532
  NPD
• Travis S Butner, LPC, CSAC

  • Professional Counselor
  • Forest, VA
  • NPI 1467080416
  NPD
• Karis Olivia Callaway, LPC

  • Professional Counselor
  • Forest, VA
  • NPI 1750055612
  NPD
• Kindal Holly Dahlby, LPC, MA

  • Professional Counselor
  • Forest, VA
  • NPI 1730927344
  NPD
• Adam Pavao, LPC

  • Professional Counselor
  • Forest, VA
  • NPI 1104237734
  NPD
• Kaitlin Royer, LPC

  • Professional Counselor
  • Forest, VA
  • NPI 1356105571
  NPD
• Lisa Smith

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1588537971
  NPD
• Bethany T. Steele, MA, LPC, NCC

  • Mental Health Counselor
  • Forest, VA
  • NPI 1285387753
  NPD
• Pius Asamoah

  • Professional Counselor
  • Forest, VA
  • NPI 1003782814
  NPD (past)

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": []
}

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• Callie Jett, REGISTERED NURSE

• Professional Counselor in Forest, VA
• Providers in Forest, VA by specialty
• Professional Counselor in Virginia

• 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.