IMPACT EDUCATION & THERAPY, LLC – Community/Behavioral Health Agency, NPI 1518263144

IMPACT EDUCATION & THERAPY, LLC is a healthcare provider. based in Bellingham, Washington. specializing in Community/Behavioral Health Agency. The organization holds a License No. 603324417 (WA). The NPI Number for IMPACT EDUCATION & THERAPY, LLC is 1518263144

Main info

Organization
Name
IMPACT EDUCATION & THERAPY, LLC
NPI
1518263144
Phone
(304) 319-0581
Address
4945 MISSION RD
Authorized Official
MR. RIVES W THORNTON MEMBER M.S. LMHCA
Enumeration Date
29 January 2011
Last Update Date
12 December 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for IMPACT EDUCATION & THERAPY, LLC

  • 4945 MISSION RD

    BELLINGHAM, WA 982269528

    Phone: (304) 319-0581

    Fax: (888) 972-8992

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1013 days ago).

Enrollment records

1

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20150818006233OClinic/Group PracticeWA2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98226)

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Reviews

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Frequently asked questions

What is IMPACT EDUCATION & THERAPY, LLC's NPI number?
IMPACT EDUCATION & THERAPY, LLC's NPI is 1518263144 — the number used across U.S. healthcare to identify this provider.
Is there an active status for IMPACT EDUCATION & THERAPY, LLC?
For scheduling context, IMPACT EDUCATION & THERAPY, LLC is shown as active in the registry.
What expertise is attributed to IMPACT EDUCATION & THERAPY, LLC?
IMPACT EDUCATION & THERAPY, LLC's specialty line reads Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Is IMPACT EDUCATION & THERAPY, LLC associated with Bellingham?
Public fields place IMPACT EDUCATION & THERAPY, LLC around Bellingham, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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