IMPACT ME INCORPORATED NPI 1427624634

NPI Information

NPI: 1427624634
Provider Name: IMPACT ME, INCORPORATED
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization
Address: 1109 HIGHLAND RD
CHARLESTON, WV
ZIP 25302
Phone: (130) 444-4958

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NPI Details

IMPACT ME, INCORPORATED is a local education agency lea in Charleston, WV. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. IMPACT ME, INCORPORATED NPI is 1427624634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1109 HIGHLAND RD
CHARLESTON, WV
ZIP 25302-007
Phone: (130) 444-4958

The provider's authorized official is Seri Bosse .
The authorized official title is President and has the following contact phone number (304) 444-9584.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 11/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	251B00000X	Case Management		No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	251E00000X	Home Health		No
5	251S00000X	Community/Behavioral Health		No
6	251V00000X	Voluntary or Charitable		No
7	253Z00000X	In Home Supportive Care		No
8	261QH0100X	Clinic/Center	Health Service	No
9	305R00000X	Preferred Provider Organization		No
10	310400000X	Assisted Living Facility		No
11	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
12	324500000X	Substance Abuse Rehabilitation Facility		No
13	332U00000X	Home Delivered Meals		No
14	251300000X	Local Education Agency (LEA)		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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