Illuminate Holdings LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ILLUMINATE HOLDINGS LLC

Doing business as

Illuminate Billing Advocates

Practice address

14884 S Heritagecrest Way Ste D
Bluffdale, UT 84065-4840

Phone

(801) 793-0620

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By 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

Shelley Mangum, CMHCNPI 1396009262

Title

SVP

Phone

(801) 793-0620

Specialties & licenses 1

Addresses

Other names 1

• Illuminate Billing Advocates Doing business as

Locations

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.

• Shelley F Mangum, CMHC

  • Mental Health Counselor
  • West Jordan, UT
  • NPI 1396009262
  NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1285315176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E SEGO LILY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14884 S HERITAGECREST WAY STE D",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840654840",
            "telephone_number": "801-793-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "801-793-0620",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate Billing Advocates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Bluffdale, UT
• Providers in Bluffdale, UT by specialty
• Multi-Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.