Organization Active NPI

Illuminating You Therapeutic Services, LLC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1285380949
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ILLUMINATING YOU THERAPEUTIC SERVICES, LLC
Practice address
6001 Carter Ave
Baltimore, MD 21214-2008
Phone
(443) 826-9580
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Ms. Latanya Nicole Cobb, LCPC, ACS, NCCNPI 1396907192
Title
Owner/Therapist
Phone
(443) 826-9580

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6001 Carter Ave
Baltimore, MD 21214-2008

Mailing address

6001 Carter Ave
Baltimore, MD 21214-2008
Phone (443) 826-9580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1285380949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 CARTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142008",
            "telephone_number": "443-826-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 CARTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142008",
            "telephone_number": "443-826-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING YOU THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "443-826-9580",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, ACS, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.