CMS-1500 Box 24J / 33a • NPI
1679456834
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QP2300X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
39495 SAINT CLAIR RD, POMEROY, OH, 45769-9434
✓ 9-Digit EDI 837 ZIP+4 (45769-9434)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679456834 (BEHAVIORAL IMPACT PARTNERS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1679456834 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BEHAVIORAL IMPACT PARTNERS |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QP2300X (Clinic/Center, Primary Care) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 39495 SAINT CLAIR RD, POMEROY, OH, 45769-9434 |
| Practice Telephone / Fax | Tel: (606) 471-9713 |
| Administrative Mailing Address | 39495 SAINT CLAIR RD, POMEROY, OH, 45769-9434 |
| Enumeration & Last Sync | Enumerated: 2025-07-28 | CMS Record Updated: 2025-07-28 |
| Authorized Official | CRYSTAL TROUT (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QP2300X)
What Does Taxonomy Code 261QP2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BEHAVIORAL IMPACT PARTNERS)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: N/A | License: Verified | Primary: Secondary |
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: N/A | License: Verified | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: N/A | License: Verified | Primary: Secondary |
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: N/A | License: Verified | Primary: Secondary |
261QP2300X — Clinic/Center, Primary CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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