Impact Community Resources
NPI 1356069264 · Community/Behavioral Health Agency · Charlotte, NC
Impact Community Resources is a Community/Behavioral Health Agency organization in Charlotte, NC (NPI 1356069264).
Provider details
- NPI number
- 1356069264
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carlita Randall, Clinical Director(412) 977-1273
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Physician Assistants & Advanced Practice Nursing Providers
- Respite Care385H00000X
Respite Care Facility
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- School Counselor101YS0200X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-08-16
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Frequently asked questions
- What is Impact Community Resources's NPI number?
- Impact Community Resources's National Provider Identifier (NPI) is 1356069264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Community Resources?
- Impact Community Resources is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Impact Community Resources located?
- Impact Community Resources's practice location on file with NPPES is 301 Mccullough Dr, Charlotte, NC 28262-3310.
- What is Impact Community Resources's phone number?
- The practice phone number listed in the NPPES registry for Impact Community Resources is (980) 276-5142.
- Who is the authorized official for Impact Community Resources?
- The authorized official listed on Impact Community Resources's NPPES record is Carlita Randall, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Community Resources's NPI active?
- Yes — Impact Community Resources's NPI (1356069264) is active in the NPPES registry as of the last update on 2025-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.