Impact Behavioral
Impact Behavioral is a healthcare organization registered as Community/Behavioral Health Agency in Marrero, LA, holding Type 2 (organization) NPI 1053770685 since 2016. The authorized official on file is Mieshan Madison, Clinician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053770685 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Impact Behavioral |
| Practice address | 4700 WICHERS DR, SUITE 205, Marrero, LA, 70072 |
| Phone | 5044070709 |
| Fax | 5043336252 |
| Enumeration date | 2016-02-10 |
| Last updated in NPPES | 2016-02-10 |
Authorized official
| Name | Mieshan Madison |
|---|---|
| Title | Clinician |
| Phone | 5043941774 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | LA |
Copy-ready billing details
Provider: Impact Behavioral NPI: 1053770685 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 4700 WICHERS DR, SUITE 205, Marrero, LA, 70072
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114004611 | Precision Foot Care Center, LLC | Organization | Foot & Ankle Surgery Podiatrist | Marrero, LA |
| 1710141411 | Michael Mcsween M D L L C | Organization | Family Medicine Physician | Marrero, LA |
| 1508012451 | Wanda Thompson | Individual | Case Manager/Care Coordinator | Marrero, LA |
| 1689825903 | Rosanna Dichiro | Individual | Psychologist | Marrero, LA |
| 1558512459 | Sleep Solutions of the Westbank, LLC | Organization | Sleep Disorder Diagnostic Clinic/Center | Marrero, LA |
| 1366697484 | Sleep Solutions of the Westbank | Organization | Sleep Disorder Diagnostic Clinic/Center | Marrero, LA |
| 1548401698 | Accu-Med Pharmacy II LLC | Organization | Pharmacy | Marrero, LA |
| 1487880605 | Shirley Young | Individual | Clinical Social Worker | Marrero, LA |
Verify this record
Cross-check NPI 1053770685 against the authoritative CMS record: view Impact Behavioral on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Impact Behavioral?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-02-10.