Organization Active NPI

Luminspire Counseling Collective PLLC

  • Counselor
  • West Palm Beach, FL
National Provider Identifier
1144072729
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LUMINSPIRE COUNSELING COLLECTIVE PLLC
Practice address
1691 Forum PL Ste B
West Palm Beach, FL 33401-2336
Phone
(561) 512-4279
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Amanda Marie Chilleme, LMHC
Title
Ceo
Phone
(561) 512-4279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1691 Forum PL Ste B
West Palm Beach, FL 33401-2336

Mailing address

126 Twisted Pines Xing
Dahlonega, GA 30533-5078
Phone (561) 512-4279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1144072729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TWISTED PINES XING",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335078",
            "telephone_number": "561-512-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 FORUM PL STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012336",
            "telephone_number": "561-512-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINSPIRE COUNSELING COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CHILLEME",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-512-4279",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.