Organization Active NPI

The Impact Counselors

  • Professional Counselor
  • Allen, TX
National Provider Identifier
1841912672
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE IMPACT COUNSELORS
Practice address
550 S Watters Rd Ste 239
Allen, TX 75013-5229
Phone
(214) 778-2836
Fax
(214) 296-4587
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Fatima Ashraf
Title
Practice Manager
Phone
(214) 778-2836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

550 S Watters Rd Ste 239
Allen, TX 75013-5229

Mailing address

550 S Watters Rd Ste 239
Allen, TX 75013-5229
Phone (214) 778-2836

Other identifiers 1

IdentifierTypeStateIssuer
1609115187OtherTXNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MyTheraNest Direct

National Provider Directory

National Provider Directory

Locations

550 S Watters Rd
Ste 239
Allen, TX 75013
Phone (214) 778-2836

Practitioners & affiliated clinicians

Practitioners 3

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": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1841912672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD STE 239",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135229",
            "telephone_number": "214-778-2836",
            "fax_number": "214-296-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD STE 239",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135229",
            "telephone_number": "214-778-2836",
            "fax_number": "214-296-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMPACT COUNSELORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A",
        "authorized_official_last_name": "ASHRAF",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-778-2836"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609115187",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MyTheraNest",
            "affiliation": "N",
            "endpointDescription": "Mental Health EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "550 S Watters Rd Ste 239",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750135229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.