Active NPI
Illuminate Supervision and Consulting
- Community/Behavioral Health Agency
- Lake View, IA
National Provider Identifier
1194695221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ILLUMINATE SUPERVISION AND CONSULTING
- Practice address
- 400 5TH St
Lake View, IA 51450-7725 - Phone
- (515) 639-0676
- Fax
- (515) 639-0676
- NPI assigned
- Nov 5, 2025
- Last updated
- Nov 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alecia Ann Smith, LISW
- Title
- Owner
- Phone
- (515) 639-0676
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
400 5TH St
Lake View, IA 51450-7725
Mailing address
PO Box 136
Lake View, IA 51450-0136
Phone (515) 639-0676
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Lake View, IA
- NPI 1861798167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1194695221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 136",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "514500136",
"telephone_number": "515-639-0676",
"fax_number": "515-639-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 5TH ST",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "514507725",
"telephone_number": "515-639-0676",
"fax_number": "515-639-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUMINATE SUPERVISION AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ALECIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-639-0676",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake View, IA
- Blackhawk Lifecare Inc (Blackhawk Life Care Center)
- Brotherton Family and Sports Chiropractic P.C.
- Julie Clayton
- East Sac County Community School District
- Family First Dental Associates of Sac City, P.C. (Family 1st Dental of Lake View)
- Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine Lake View)
- Judisch Vision PC (Rock Judisch Vision Clinic PC)
- Lake View Family Chiropractic Clinic, PC
- Lakeview Health Care Operations (Lake View Health Care Center)
- Margaret A Liautaud, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.