Illuminated Path LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5634 Issued in CO

Legal business name

ILLUMINATED PATH LLC

Practice address

305 W South 1St St
Johnstown, CO 80534-9086

Phone

(970) 231-2681

NPI assigned

Feb 13, 2015

Last updated

Feb 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy Kraft

Title

Owner

Phone

(970) 391-0201

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffani Martin, PHD

  • Psychologist
  • Johnstown, CO
  • NPI 1497102933
  NPD (past)
• Alyssa L Wermers, LCSW

  • Clinical Social Worker
  • Lafayette, CO
  • NPI 1184028250
  NPD (past)

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1093106957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 S SAINT LOUIS AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376401",
            "telephone_number": "970-391-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SOUTH 1ST ST",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349086",
            "telephone_number": "970-231-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-391-0201"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuree Denette Hoffman-Ramirez, RPH
• Sarah Howe, FNP-C
• Andrea Howerton
• Brittany Hunter, PA-C
• Netanya Huska, MOT
• Imprint Family Chiropractic, LLC
• Courtney Beth Isley, M.D.
• Barbara Ann Jackson, LMT
• Jeffrey S Tippets DDS PC (Tippets Dentistry at Johnstown)
• Jeremy T. Sharp, PH.D., LLC (Colorado Center for Assessment & Counseling)

• Professional Counselor in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.