NPIMap

Organization Active NPI

Illuminate Therapy and Wellness, S-Corp

  • Mental Health Counselor
  • Palatine, IL
National Provider Identifier
1598398794
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ILLUMINATE THERAPY AND WELLNESS, S-CORP
Practice address
1 E Northwest Hwy Ste 201
Palatine, IL 60067-1700
Phone
(847) 908-8700
Fax
(847) 907-9780
NPI assigned
Feb 16, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Mrs. Greta Nielsen, LCPC, NCCNPI 1912071077
Title
Owner/Psychotherapist
Phone
(847) 687-7675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1 E Northwest Hwy Ste 201
Palatine, IL 60067-1700

Mailing address

1 E Northwest Hwy Ste 201
Palatine, IL 60067-1700
Phone (847) 908-8700

National Provider Directory

National Provider Directory

Locations

1 E Northwest Hwy
Ste 201
Palatine, IL 60067
Phone (847) 908-8700

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1598398794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E NORTHWEST HWY STE 201",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671700",
            "telephone_number": "847-908-8700",
            "fax_number": "847-907-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E NORTHWEST HWY STE 201",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671700",
            "telephone_number": "847-908-8700",
            "fax_number": "847-907-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE THERAPY AND WELLNESS, S-CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-687-7675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.