Organization Active NPI

Impacting Futures Community Services

  • Community/Behavioral Health Agency
  • Petersburg, VA
National Provider Identifier
1558053991
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IMPACTING FUTURES COMMUNITY SERVICES
Doing business as
Impacting Futures Community Services
Practice address
325-B Brown St.
Suite 127
Petersburg, VA 23803
Phone
(804) 924-7471
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Anitra Carter
Title
Coo
Phone
(757) 383-4183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

325-B Brown St.
Suite 127
Petersburg, VA 23803

Mailing address

325-B Brown St.
Suite 127
Petersburg, VA 23803
Phone (804) 924-7471

Other names 1

  • Impacting Futures Community Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1558053991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325-B BROWN ST.",
            "address_2": "SUITE 127",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-924-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325-B BROWN ST.",
            "address_2": "SUITE 127",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-924-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTING FUTURES COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANITRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "757-383-4183"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impacting Futures Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.