Illuminate Counseling Services, P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ILLUMINATE COUNSELING SERVICES, P.C.

Practice address

1220 Iroquois Ave Ste 204a
Naperville, IL 60563-8574

Phone

(630) 854-2320

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Andrea C Canlas, LCPCNPI 1366832420

Title

Practice Owner Psychotherapist

Phone

(630) 854-2320

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Andrea Canlas

  • Counselor
  • Wheaton, IL
  • NPI 1366832420
  NPD Authorized official
• Kathryn B Jack, LCPC

  • Mental Health Counselor
  • West Chicago, IL
  • NPI 1083768642
  NPD (past)
• Madeleine Kadam

  • Social Worker
  • St Charles, IL
  • NPI 1447913769
  NPD (past)
• Katherine Storm Siadak, MSW

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1497326367
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1508415407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SWALLOW ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652332",
            "telephone_number": "630-854-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 IROQUOIS AVE STE 204A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638574",
            "telephone_number": "630-854-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "CANLAS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE OWNER PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "630-854-2320",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Medical Doctors of Naperville Enterprising SC
• Illinois Nursing Home& Hospital Physician Service Corporation
• Illinois Spinal & Sports Rehabilitation SC
• Illinois Wellness Center
• Illinois Wellness Group of Naperville, S.C.
• Illuminated Heart Counseling LTD
• Susannah Reeves Ilseman, MSOT, OTR/L
• Basel Imam, M.D.
• Hasan Imam
• Matthew Jacob Imber, D.C.

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.