Organization
MAKING AN IMPACT LLC
Active
Organization
MAKING AN IMPACT LLC
Active
Other names
Icarus Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME BACA (EXECUTIVE DIRECTOR)
(505) 305-0902
Entity
Organization
Contact information
Practice address
8601 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(719) 651-7585
Mailing address
8601 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(719) 651-7585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
08/17/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up