Impactingpeople, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003011 Issued in GA

Legal business name

IMPACTINGPEOPLE, LLC

Practice address

1741 Hog Mountain Rd
Watkinsville, GA 30677-1947

Phone

(706) 714-6115

NPI assigned

May 19, 2011

Last updated

May 19, 2011By 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

Dr. David William Anderson, PH.D., L.P.C.NPI 1558332627

Title

Owner/Professional Counselor

Phone

(706) 714-6115

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David William Anderson, PH.D.

  • Professional Counselor
  • Watkinsville, GA
  • NPI 1558332627
  NPD (past) Authorized official

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1821381187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 POWELL CT",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306568675",
            "telephone_number": "706-714-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 HOG MOUNTAIN RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771947",
            "telephone_number": "706-714-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTINGPEOPLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "706-714-6115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.