Active NPI
Illuminate Play Therapy & Counseling
- Professional Counselor
- Rifle, CO
National Provider Identifier
1356200042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ILLUMINATE PLAY THERAPY & COUNSELING
- Practice address
- 111 E 3Rd St Ste 206
Rifle, CO 81650-2346 - Phone
- (970) 316-5009
- Fax
- (970) 316-5891
- NPI assigned
- Jan 19, 2026
- 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
- Natalie Willey Hanks
- Title
- Owner
- Phone
- (970) 316-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
111 E 3Rd St Ste 206
Rifle, CO 81650-2346
Mailing address
185 Remington St
Rifle, CO 81650-9628
Phone (970) 316-5009
Other practice location 1
2470 Patterson Rd Ste 5
Grand Junction, CO 81505-1028
Phone (970) 316-5009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260213000151 | CO | Part B Supplier - Clinic/Group Practice | 4284114968 |
Receives reassigned benefits from 1 practitioner Practice locations: Rifle, CO |
National Provider Directory
National Provider DirectoryLocations
2470 Patterson Rd
Ste 5
Grand Junction, CO 81505
Phone (970) 235-0703
111 E 3rd St
Ste 206
Rifle, CO 81650
Phone (970) 239-1138
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": "1768780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777161600000",
"number": "1356200042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 REMINGTON ST",
"city": "RIFLE",
"state": "CO",
"postal_code": "816509628",
"telephone_number": "970-316-5009",
"fax_number": "970-316-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 3RD ST STE 206",
"city": "RIFLE",
"state": "CO",
"postal_code": "816502346",
"telephone_number": "970-316-5009",
"fax_number": "970-316-5891"
}
],
"practiceLocations": [
{
"address_1": "2470 Patterson Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815051028",
"country_code": "US",
"telephone_number": "970-316-5009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ILLUMINATE PLAY THERAPY & COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-19",
"last_updated": "2026-04-26",
"certification_date": "2026-04-26",
"status": "A",
"authorized_official_last_name": "HANKS",
"authorized_official_first_name": "NATALIE WILLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-316-5009"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.