Impact Counseling Services I, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

080411616 Issued in NY

Legal business name

IMPACT COUNSELING SERVICES I, INC.

Practice address

2760 Middle Country Rd
Suite 1
Lake Grove, NY 11755-2113

Phone

(631) 467-3182

Fax

(631) 467-3178

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Ann Brunjes, LCSW R

Title

Ceo Clinical Director

Phone

(631) 467-3182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1760694947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 MIDDLE COUNTRY RD",
            "address_2": "SUITE 1",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552113",
            "telephone_number": "631-467-3182",
            "fax_number": "631-467-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 MIDDLE COUNTRY RD",
            "address_2": "SUITE 1",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552113",
            "telephone_number": "631-467-3182",
            "fax_number": "631-467-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COUNSELING SERVICES I, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "BRUNJES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "631-467-3182",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "080411616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Holmes
• Rosemarie Hughes, M.S., CCC/SLP
• Jake A Hunter, MD
• Barbara A. Ialacci-Pfeifer, D.C.
• Stephanie Lee Ihriskey
• Impact LCSW Counseling Services, PC
• Lorraine Ann Ingraffia, R.N.
• Homer Joseph Torrevillas Inoferio
• Island Pulmonary and Critical Care PLLC
• Stacey Italiano, PT

• Community/Behavioral Health Agency in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.