Illumination Geriatric Consultation and Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

26431 Issued in CA

Legal business name

ILLUMINATION GERIATRIC CONSULTATION AND COUNSELING SERVICES

Practice address

1832 Scott Rd
Burbank, CA 91504-3819

Phone

(818) 568-6244

NPI assigned

Oct 4, 2010

Last updated

Oct 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan Mary Miller, LCSWNPI 1609180769

Title

Licensed Clinical Social Worker/Ceo

Phone

(818) 568-6244

Specialties & licenses 1

Addresses

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.

• Susan Mary Miller, LCSW

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1609180769
  NPD Authorized official

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1265741581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 SCOTT RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043819",
            "telephone_number": "818-568-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 SCOTT RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043819",
            "telephone_number": "818-568-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATION GERIATRIC CONSULTATION AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/CEO",
        "authorized_official_telephone_number": "818-568-6244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "26431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nicole Ignatczyk, P.A.
• Ernestine Ihekire, NP
• David A Iler Jr., LMT
• Lisa Pulsifer Illingworth, LCSW
• Illuminate Hospice Care Inc
• Im Pharmacy Inc (KD Pharmacy)
• Im Pharmacy Inc (KD Pharmacy)
• Jae Yoon Im
• Immense Home Health Inc
• Immense Hospice, Inc

• Community/Behavioral Health Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.