Illuminate Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ILLUMINATE THERAPY LLC

Doing business as

Illuminate Therapy

Practice address

234 W Caroline St Ste 3
Fenton, MI 48430-2807

Phone

(517) 974-9353

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Amy Thompson, MA LPCNPI 1306242623

Title

Owner

Phone

(517) 974-9353

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Illuminate Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Amy Thompson, MA

  • Professional Counselor
  • Fenton, MI
  • NPI 1306242623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1194367953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W CAROLINE ST STE 3",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302807",
            "telephone_number": "517-974-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W CAROLINE ST STE 3",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302807",
            "telephone_number": "517-974-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-974-9353",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306242623",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert John Hughes, LMSW
• Summer Nicole Hunter, NP
• Rachael Madison Iaquinto, M.A.
• Melissa Ibrahim
• James Dewitt Ide, D.C.
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• Independent Home Care of Michigan LLC
• Lee Indianer, RMT
• Leon D Ingham, O.D.
• Inner Growth Services LLC

• Professional Counselor in Fenton, MI
• Providers in Fenton, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.