Illuminate Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ILLUMINATE THERAPY, LLC

Practice address

40 Florida Blvd
Miami, FL 33144-2438

Phone

(786) 436-0671

NPI assigned

Jun 15, 2020

Organization subpart

No

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

Authorized official

Name

Kristina A Vinas, BCBANPI 1376083428

Title

Owner and Bcba

Phone

(305) 790-4514

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina A Vinas, BCBA

  • Behavior Analyst
  • Miami, FL
  • NPI 1376083428
  NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1033734181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FLORIDA BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442438",
            "telephone_number": "786-436-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLORIDA BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442438",
            "telephone_number": "786-436-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "VINAS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER AND BCBA",
        "authorized_official_telephone_number": "305-790-4514",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Illa, APRN
• Luisa Maria Illarreta Pena, APRN
• Alfa Osiris Illescas, MSOTR/L
• Liliana Illescas, LMT
• Edward Harris Illions, M.D.
• Illuminating Lives Corp
• Illusion Hair Industries LLC
• Illusion Optical Design, Inc.
• Illusions Home Care Services, Inc
• Illusions Home Care Services, Inc

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.