Impact Behavioral Counseling LLC
NPI 1386169050ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Jackson, TN
Counselor, Addiction (Substance Use Disorder) in Jackson, Tennessee, registered in NPPES in August 2017. The authorized official on file is Patrick Combs, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1386169050 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2017 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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