Organization Active NPI

Illumination Therapy

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1104719525
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ILLUMINATION THERAPY
Practice address
9 Serpentine CT
Silver Spring, MD 20904-5336
Phone
(202) 770-5759
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Amy Zimmerman, LGMFT, LGPC, MT-BCNPI 1306622428
Title
Therapist
Phone
(202) 656-6746

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

9 Serpentine CT
Silver Spring, MD 20904-5336

Mailing address

9 Serpentine CT
Silver Spring, MD 20904-5336
Phone (202) 770-5759

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": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1104719525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SERPENTINE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045336",
            "telephone_number": "202-770-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SERPENTINE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045336",
            "telephone_number": "202-770-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "202-656-6746",
        "authorized_official_credential": "LGMFT, LGPC, MT-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.