Illuminated Life Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ILLUMINATED LIFE COUNSELING LLC

Practice address

404 N Gloster St
Tupelo, MS 38804-3626

Phone

(662) 350-0567

Fax

(662) 620-7106

NPI assigned

Aug 20, 2025

Organization subpart

No

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

Authorized official

Name

Catherine F Baldwyn, LPCNPI 1538505730

Title

Owner

Phone

(662) 350-0567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

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

• Catherine Frey Baldwyn, M.ED., NCC, LPC

  • Counselor
  • Tupelo, MS
  • NPI 1538505730
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1407733371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043626",
            "telephone_number": "662-350-0567",
            "fax_number": "662-620-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043626",
            "telephone_number": "662-350-0567",
            "fax_number": "662-620-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BALDWYN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-350-0567",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Patrice Hyatt, PH.D.
• Patricia Ross Hych, MA
• Atif Ibrahim
• Omer Mohamed Ali Ibrahim, BDS, DDS
• Wanda Ikeda, ACNP
• Imaging Center at Gloster Creek Village PLLC
• Abrahim Imam
• Laura Akugbe Imarhiagbe, M.D.
• Malinda Ingram, FNP
• Laura Kate Inman

• Counselor in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.