Northern Lights Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTHERN LIGHTS WELLNESS PLLC

Doing business as

Illuminate Wellness

Practice address

1321 Riverdale St
West Springfield, MA 01089-4916

Phone

(469) 684-4410

NPI assigned

Jun 11, 2025

Organization subpart

No

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

Authorized official

Name

Hayley Pepin, LICSWNPI 1003409970

Title

Co-Founder

Phone

(469) 684-4410

Specialties & licenses 2

Addresses

Other names 1

• Illuminate Wellness Doing business as

Locations

Practitioners 1

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

• Hayley Pepin, LICSW

  • Clinical Social Worker
  • West Springfield, MA
  • NPI 1003409970
  NPD Authorized official

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1063307999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894916",
            "telephone_number": "469-684-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Chestnut St Unit 12",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011031705",
            "country_code": "US",
            "telephone_number": "469-684-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN LIGHTS WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "PEPIN",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "469-684-4410",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illuminate Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivany M Nieves
• Tatyana Nikitina, MSW
• Paul Nimchick
• Bianca Noe, M.A., CCC-SLP
• Joan Normand
• Gary Jon Norton, MSW
• Katherine A Noske
• Lana A Novia, FNP BC
• Walter Nowak
• Nuestra Casa LLC

• Clinical Social Worker in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.