Organization Active NPI

Impact Coaching Consulting and Counseling Center LLC

  • Mental Health Counselor
  • Highland Springs, VA
National Provider Identifier
1700550621
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IMPACT COACHING CONSULTING AND COUNSELING CENTER LLC
Doing business as
Impact Coaching Consulting and Counseling Center LLC
Practice address
1914 Beaver Rd
Highland Springs, VA 23075-2404
Phone
(804) 243-4939
NPI assigned
Aug 4, 2021
Organization subpart
Yes
Parent organization
SHE'S ABOUT BUSINESS ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Diathe Garnes, MS, QMHP-A,CNPI 1780179028
Title
Owner
Phone
(804) 243-4939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1914 Beaver Rd
Highland Springs, VA 23075-2404

Mailing address

1248 Carmia Way # 1053
North Chesterfield, VA 23235-4750
Phone (804) 243-4939

Other names 1

  • Impact Coaching Consulting and Counseling Center LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Impact Coaching Consulting and Counseling Center LLC

Locations

4508 S Laburnum Ave
Ste 100
Richmond, VA 23231
Phone (804) 615-8769

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1700550621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 CARMIA WAY # 1053",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354750",
            "telephone_number": "804-243-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 BEAVER RD",
            "city": "HIGHLAND SPRINGS",
            "state": "VA",
            "postal_code": "230752404",
            "telephone_number": "804-243-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COACHING CONSULTING AND COUNSELING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHE'S ABOUT BUSINESS ENTERPRISES",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "GARNES",
        "authorized_official_first_name": "DIATHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-243-4939",
        "authorized_official_credential": "MS, QMHP-A,C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Coaching Consulting and Counseling Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Springs, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.