Organization Active NPI

Ignite You Therapy PLLC

  • Clinical Social Worker
  • Urbana, IL
National Provider Identifier
1376234526
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IGNITE YOU THERAPY PLLC
Practice address
1210 E Main St
Urbana, IL 61802-2830
Phone
(217) 912-5249
Fax
(217) 703-8337
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Felicia Li, LCSW
Title
Owner
Phone
(217) 912-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1210 E Main St
Urbana, IL 61802-2830

Mailing address

1210 E Main St
Urbana, IL 61802-2830
Phone (217) 912-5249

National Provider Directory

National Provider Directory

Locations

1210 E Main St
Urbana, IL 61802
Phone (217) 367-4960

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1376234526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E MAIN ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618022830",
            "telephone_number": "217-912-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E MAIN ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618022830",
            "telephone_number": "217-912-5249",
            "fax_number": "217-703-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE YOU THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-912-5249",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.