Impact Outpatient Program LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

IMPACT OUTPATIENT PROGRAM LLC

Doing business as

Robert Alexander Center for Recovery

Practice address

1200 N Bardstown Rd Ste A2
Mt Washington, KY 40047-7669

Phone

(502) 439-2248

NPI assigned

Jul 23, 2021

Last updated

Sep 2, 2025By 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

Brian Thornsberry

Title

Manager

Phone

(502) 439-2248

Specialties & licenses 1

Addresses

Other names 1

• ROBERT ALEXANDER CENTER FOR RECOVERY Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1972176113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BARDSTOWN RD STE A2",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BARDSTOWN RD STE A2",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477669",
            "telephone_number": "502-439-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT OUTPATIENT PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "THORNSBERRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-439-2248"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT ALEXANDER CENTER FOR RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Renee Hopper, DPT
• Taylor Horn
• Kayla Huff, PMHNP-BC
• Karen Anne Hughes, D.M.D.
• Kimberley Marie Huseman, O.D.
• Nita Suzann Isgrigg, DMD
• Linda S Jasper, LPCC, RM
• Susan J Jensen, LMT
• Nathanial Johnson
• Joseph Geraci DMD PLLC (Joseph Geraci DMD)

• Substance Abuse Rehabilitation Facility in Mt Washington, KY
• Providers in Mt Washington, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.