Organization Active NPI

Illuminate Play Therapy & Counseling

  • Professional Counselor
  • Rifle, CO
National Provider Identifier
1356200042
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Apr 26, 2026

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20260213000151 CO Part B Supplier - Clinic/Group Practice 4284114968 Receives reassigned benefits from 1 practitioner
Practice locations: Rifle, CO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.