TRUE IMPACT COUNSELING SERVICES


Address: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609-6879
Phone: 9199154800

TRUE IMPACT COUNSELING SERVICES (NPI# 1053789396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053789396
Entity Type Organization
Organization Name TRUE IMPACT COUNSELING SERVICES
Other Organization Name TICS
Practice Address 4000 Wake Forest Rd
Suite 200
Raleigh
NC 27609-6879
Mailing Address Po Box 2181
Garner
NC 27529-2181
Practice Telephone 9199154800
Mailing Telephone 9199154800
Enumeration Date 2015-09-03
Last Update Date 2015-09-10
Authorized Official Name MR. TRAVIS EDWARD WILLIAMS (LICENSED PROFESSIONAL COUNSELOR)
Authorized Official Telephone 9199154800
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 8845 NC Agencies

Other Provider/Organization Names

Other Name Type Code
TICS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124494497 True Impact Counseling Services Community/Behavioral Health 110 Linden Ct, Garner, NC 27529-8108 2015-08-20

Office Location

Street Address 4000 WAKE FOREST RD
SUITE 200
City RALEIGH
State NC
Zip Code 27609-6879

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013079961 Easter Seals Ucp North Carolina & Virginia, Inc. Counselor 4000 Wake Forest Rd, Ste 200, Raleigh, NC 27609 2006-12-15
1578174389 Elizabeth Gaudette Social Worker 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2020-08-14
1225654387 Allison Yost Counselor 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2020-06-24
1396366688 Stefanie Guerrero Social Worker 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2020-04-28
1982252169 Kristina L Kirkeby Social Worker 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2019-08-30
1700350667 Chad Bagwell Social Worker 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2019-01-14
1407323801 Larry R. Wright Jr. Social Worker 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2018-10-24
1508344813 Michelle Corbett Brown Counselor 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2018-07-30
1346747482 Kelly Sauer Counselor 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2018-04-06
1295257442 Giles Christman Marriage & Family Therapist 4000 Wake Forest Rd, Raleigh, NC 27609-6879 2017-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184235582 Choice Service Solutions LLC In Home Supportive Care 5300 Six Fox Rd Siite205, Raleigh, NC 27609 2020-08-11
1003426073 Rosana Oba -rovira Registered Nurse 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 2020-08-05
1821612706 Helen Alexandra Bonner Physical Medicine & Rehabilitation Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 2020-06-05
1215423579 Appiah Nana Larbi Social Worker Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 2018-07-10
1215423777 Broadway Home Care LLC In Home Supportive Care 107 Windel Dr Ste 105, Raleigh, NC 27609 2018-07-09
1275027948 Lacey Allene Cottingham Social Worker 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 2018-06-18
1447748819 Integrated Dermatology of North Raleigh, Pllc Dermatology 3809 Computer Dr Ste 200, Raleigh, NC 27609 2018-05-01
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1962929679 Alexia Montague Social Worker 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 2017-08-23
1730602236 Chantel Washington-mbuthia Counselor 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 2017-07-18
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528688678 Life Extensions LLC Community/Behavioral Health 4304 Coburn Pl Apt 106, Raleigh, NC 27616-7971 2020-04-19
1639716368 Monarch Community/Behavioral Health 1705 Beacon Bluff St, Raleigh, NC 27604-5446 2019-12-02
1700429396 Transcending Limits Counseling Services Pllc Community/Behavioral Health 3445 Teravista Way, Raleigh, NC 27616-9310 2019-10-25
1497397137 Ever-lasting Counseling Service LLC Community/Behavioral Health 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 2019-10-15
1285108373 Metro Treatment of North Carolina L P Community/Behavioral Health 3911 New Bern Ave, Raleigh, NC 27610-1332 2019-01-11
1932670999 Elevation Community Services, LLC Community/Behavioral Health 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 2018-12-16
1891297222 Saving Hope, LLC Community/Behavioral Health 2501 Lilymount Dr, Raleigh, NC 27610-3476 2018-03-01
1508370776 Resiliency In Recovery Community/Behavioral Health 3986 Cane Garden Dr, Raleigh, NC 27610-5696 2017-11-27
1467975318 Aci Support Specialists, LLC Community/Behavioral Health 6832 Planting Ct, Raleigh, NC 27610-8705 2017-07-24
1134649601 Aci Support Specialists, LLC Community/Behavioral Health 12367 Honeychurch St, Raleigh, NC 27614-7879 2017-06-26
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Competitor

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City RALEIGH
Zip Code 27609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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