Impact Outpatient Program LLC
NPI 1972176113 · Substance Abuse Rehabilitation Facility · Mt Washington, KY
Impact Outpatient Program LLC is a Substance Abuse Rehabilitation Facility organization in Mt Washington, KY (NPI 1972176113).
Provider details
- NPI number
- 1972176113
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brian Thornsberry, Manager(502) 439-2248
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Other names (DBA / former)
- Doing business as
- Robert Alexander Center for Recovery
Registry dates
- Enumerated
- 2021-07-23
- Last updated
- 2025-09-02
- Certified
- 2024-01-01
Frequently asked questions
- What is Impact Outpatient Program LLC's NPI number?
- Impact Outpatient Program LLC's National Provider Identifier (NPI) is 1972176113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Outpatient Program LLC?
- Impact Outpatient Program LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Impact Outpatient Program LLC located?
- Impact Outpatient Program LLC's practice location on file with NPPES is 1200 N Bardstown Rd Ste A2, Mt Washington, KY 40047-7669.
- What is Impact Outpatient Program LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Outpatient Program LLC is (502) 439-2248.
- Who is the authorized official for Impact Outpatient Program LLC?
- The authorized official listed on Impact Outpatient Program LLC's NPPES record is Brian Thornsberry, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Outpatient Program LLC's NPI active?
- Yes — Impact Outpatient Program LLC's NPI (1972176113) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.