Organization Active NPI

Lumin Psychiatry & Wellness

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1073468989
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
LUMIN PSYCHIATRY & WELLNESS
Practice address
4150 N Kenmore Ave Apt 404
Chicago, IL 60613-5971
Phone
(303) 902-1536
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Wesley Gordon, PA-CNPI 1134659550
Title
Founder/Physician Assistant
Phone
(303) 902-1536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

4150 N Kenmore Ave Apt 404
Chicago, IL 60613-5971

Mailing address

4150 N Kenmore Ave Apt 404
Chicago, IL 60613-5971
Phone (303) 902-1536

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1073468989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 N KENMORE AVE APT 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135971",
            "telephone_number": "303-902-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N KENMORE AVE APT 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135971",
            "telephone_number": "303-902-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIN PSYCHIATRY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "FOUNDER/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "303-902-1536",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.