Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Psychology PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1164923843

Impact Psychology PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

724 Bielenberg Dr Ste 4
Woodbury, MN 55125-5512
Phone: (651) 204-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence LP5825 (MN)

Record details

NPI number1164923843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Eckerman — Clinical Psychologist · (651) 204-4034
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 27, 2018
Mailing address6958 W 84th St, Minneapolis, MN 55438-1159

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