Illuminate Healing LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ILLUMINATE HEALING LLC

Practice address

2926 NE Flanders St Ste 3a
Portland, OR 97232-3259

Phone

(503) 272-1482

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Linnea Stenhouse, LCSWNPI 1780912592

Title

Owner/Manager

Phone

(503) 272-1482

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Linnea Stenhouse, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1780912592
  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1053186247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 SE HAWTHORNE BLVD # 1177",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145048",
            "telephone_number": "503-272-1482",
            "fax_number": "503-427-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 NE FLANDERS ST STE 3A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323259",
            "telephone_number": "503-272-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "STENHOUSE",
        "authorized_official_first_name": "LINNEA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-272-1482",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500704520",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore Kartwright Iliff
• Illo Chiropractic
• Anthony R Illo, D.C.
• Illumina Integrative Psychiatry
• Illuminate and Liberate Counseling, LLC
• Illumination Counseling LLC
• Illumination Rock Integrative Medicine, LLC
• Marissa Ilnitzki
• Sandra Iloka, M.D.
• Kelly Ann Ilseman, MACOM, MS, MED

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.