Impact Nation Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMPACT NATION COMMUNITY SERVICES

Practice address

900 S Valley View Blvd Ste 195
Las Vegas, NV 89107-4430

Phone

(725) 230-1844

Fax

(800) 520-8116

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Troy Zakari WalkerNPI 1134353824

Title

Chief Executive Officer

Phone

(725) 230-1844

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.

• Troy Zakari Walker, CADC-I, PRSS-S

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
  • NPI 1134353824
  NPD Authorized official

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1851089254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S VALLEY VIEW BLVD STE 195",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074430",
            "telephone_number": "725-230-1844",
            "fax_number": "800-520-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S VALLEY VIEW BLVD STE 195",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074430",
            "telephone_number": "725-230-1844",
            "fax_number": "800-520-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT NATION COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ZAKARI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "725-230-1844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.