Elizabeth Whitehead, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-5751 Issued in ID

Practice address

1323 Ammon Park Dr
Ammon, ID 83406-4591

Phone

(208) 932-8350

Fax

(208) 938-2330

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 18, 2024 through Dec 18, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illuminations Counseling, LLC

  • Mental Health Counselor
  • Ammon, ID
  • NPI 1508540618
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1033469572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 AMMON PARK DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064591",
            "telephone_number": "208-932-8350",
            "fax_number": "208-938-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 AMMON PARK DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064591",
            "telephone_number": "208-932-8350",
            "fax_number": "208-938-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-5751",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Weekes, BS
• Scott Douglas Weibye
• Daniel Weinrich, PH.D., L.C.P.C
• Devin Kenneth Wernette
• Bryan Westhoff
• Shelby Whiting, LPC
• Amanda Kay Whitmill, PHARM.D.
• Richard Franklin Whittaker I
• Wholesome Health
• Megann Wilkerson, LCSW

• Mental Health Counselor in Ammon, ID
• Providers in Ammon, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.