Impact 4 Change

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

IMPACT 4 CHANGE

Practice address

13810 Champion Forest Dr Ste 203
Houston, TX 77069-1875

Phone

(713) 231-6801

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By 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

Catherine Mukes, LPCNPI 1477662484

Title

Owner/Ceo

Phone

(713) 231-6801

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Catherine L Mukes

  • Professional Counselor
  • Houston, TX
  • NPI 1477662484
  NPD Authorized official
• Veronica Alibocas, LPC ASSOCIATE, NCC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1497425821
  NPD (past)
• Amanda Rockwell, M.S. LPC-ASSOCIATE

  • Mental Health Counselor
  • Houston, TX
  • NPI 1245804392
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1487159919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 MARSHWOOD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381122",
            "telephone_number": "713-231-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13810 CHAMPION FOREST DR STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770691875",
            "telephone_number": "713-231-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT 4 CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "MUKES",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "713-231-6801",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nneamaka Victoria Imo
• Esther Uchechi Imogu
• Imole Healthcare Inc
• Imole Transportation LLC
• Impact 360 (IMPACT 360 ABA Solutions)
• Impact Counseling and Wellness, LLC
• Impact Healthcare and Wellness (Impact Mental Healthcare and Wellness)
• Impact Healthcare PLLC
• Impact Home Care and Staffing
• Impact Home Health LLC

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.