Joan Ili, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN61112406 Issued in WA

Practice address

950 Broadway Ste 404
Tacoma, WA 98402-4454

Phone

(425) 640-7009

Fax

(425) 678-6455

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, OR, WA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joan.ili.p1@direct.sokya.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Psychiatric/Mental Health, WA

  Medicare reassignment Care Compare group NPD
• Horizon Health and Wellness, Inc.

  • General Practice Physician
  • Apache Junction, AZ
  • NPI 1659308989

  AZ

  Medicare reassignment NPD
• Sokyahealth Medical Group PC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1447842232

  OR, Psychiatric/Mental Health

  Medicare reassignment NPD
• Hope Healthworks

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1790472728

  Psychiatric/Mental Health

  NPD Authorized official
• Hope Healthworks

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1992492557

  Psychiatric/Mental Health

  NPD Authorized official
• Lifeline Professional Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chandler, AZ
  • NPI 1285823377

  AZ

  Medicare reassignment
• Horizon Health and Wellness, Inc.

  • Professional Counselor
  • Globe, AZ
  • NPI 1205931987

  Psychiatric/Mental Health

  NPD
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD
• Apex Dental Care, P.C.

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1164544748
  NPD (past)
• Harmony Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1760120950

  Psychiatric/Mental Health

  NPD (past)
• Lifeline at Alphaomega

  • Professional Counselor
  • Chandler, AZ
  • NPI 1225404684
  NPD (past)
• Lifeline Professional Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1194285643
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1194946012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 N POWER RD STE 113-152",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151672",
            "telephone_number": "503-487-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BROADWAY STE 404",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024454",
            "telephone_number": "425-640-7009",
            "fax_number": "425-678-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2824 N Power Rd Ste 113-152",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852151672",
            "country_code": "US",
            "telephone_number": "503-487-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILI",
        "first_name": "JOAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61112406",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "243826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Ifie
• Catherine G Ignacio
• Sarah K Ignacio, ARNP
• Ignite a Path to Wellness
• Jahyeok Ihm, MD
• Julio Miguel Illich Capurro
• Nwamaka Chiekwugo Iloani, DO
• Imagine Behavioral and Developmental Services
• Sara Imam, ND
• Lawi Gitonga Imathiu

• Psychiatric/Mental Health Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.