Impact Behavioral Services LLC
NPI 1265162846 · Community/Behavioral Health Agency · Fort Wayne, IN
Impact Behavioral Services LLC is a Community/Behavioral Health Agency organization in Fort Wayne, IN (NPI 1265162846).
Provider details
- NPI number
- 1265162846
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shawn Wallace, Owner(260) 740-5139
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Frequently asked questions
- What is Impact Behavioral Services LLC's NPI number?
- Impact Behavioral Services LLC's National Provider Identifier (NPI) is 1265162846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Behavioral Services LLC?
- Impact Behavioral Services LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Impact Behavioral Services LLC located?
- Impact Behavioral Services LLC's practice location on file with NPPES is 4606 E State Blvd, Fort Wayne, IN 46815-6993.
- What is Impact Behavioral Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Behavioral Services LLC is (260) 740-5139.
- Who is the authorized official for Impact Behavioral Services LLC?
- The authorized official listed on Impact Behavioral Services LLC's NPPES record is Shawn Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Behavioral Services LLC's NPI active?
- Yes — Impact Behavioral Services LLC's NPI (1265162846) is active in the NPPES registry as of the last update on 2022-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.