Impact Outpatient Program LLC

Impact Outpatient Program LLC is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Mt Washington, KY, holding Type 2 (organization) NPI 1972176113 since 2021. The authorized official on file is Brian Thornsberry, Manager.

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NPI	1972176113
Entity type	Organization (Type 2)
Legal business name	Impact Outpatient Program LLC
Other name	<Unavail>
Practice address	1200 N BARDSTOWN RD STE A2, Mt Washington, KY, 40047
Phone	5024392248
Enumeration date	2021-07-23
Last updated in NPPES	2025-09-02

Authorized official

Name	Brian Thornsberry
Title	Manager
Phone	5024392248

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
324500000X	Substance Abuse Rehabilitation Facility	Primary	—	—

Copy-ready billing details

Provider: Impact Outpatient Program LLC
NPI: 1972176113
Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility)
Address: 1200 N BARDSTOWN RD STE A2, Mt Washington, KY, 40047

Verify this record

Cross-check NPI 1972176113 against the authoritative CMS record: view Impact Outpatient Program LLC 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-02. Verify at npiregistry.cms.hhs.gov.

Where is Impact Outpatient Program LLC located?

The practice location on file with NPPES is in Mt Washington, KY.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-02.