Impact Counseling Clinic, Incorporated
NPI 1205388071 · Adolescent and Children Mental Health Clinic/Center · Dierks, AR
Impact Counseling Clinic, Incorporated is a Adolescent and Children Mental Health Clinic/Center organization in Dierks, AR (NPI 1205388071).
Provider details
- NPI number
- 1205388071
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Priscilla Faulkner, Ceo(870) 285-1413
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1123 Main AvenueDierks, AR 71833Phone: (870) 285-1413
Registry dates
- Enumerated
- 2016-10-27
- Last updated
- 2021-08-20
- Certified
- 2021-08-20
Frequently asked questions
- What is Impact Counseling Clinic, Incorporated's NPI number?
- Impact Counseling Clinic, Incorporated's National Provider Identifier (NPI) is 1205388071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Counseling Clinic, Incorporated?
- Impact Counseling Clinic, Incorporated is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Impact Counseling Clinic, Incorporated located?
- Impact Counseling Clinic, Incorporated's practice location on file with NPPES is 1124 Main Ave, Dierks, AR 71833-9421.
- What is Impact Counseling Clinic, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Impact Counseling Clinic, Incorporated is (870) 285-1413.
- Who is the authorized official for Impact Counseling Clinic, Incorporated?
- The authorized official listed on Impact Counseling Clinic, Incorporated's NPPES record is Priscilla Faulkner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Counseling Clinic, Incorporated's NPI active?
- Yes — Impact Counseling Clinic, Incorporated's NPI (1205388071) is active in the NPPES registry as of the last update on 2021-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.