Illuminating Victory

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ILLUMINATING VICTORY

Practice address

976 N Nelson Rd
Columbus, OH 43219-2608

Phone

(614) 984-3838

NPI assigned

Oct 30, 2023

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terri Carter-GravesNPI 1811771611

Title

Chief Executive Officer

Phone

(614) 984-3838

Specialties & licenses 5

Addresses

Practitioners 1

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.

• Terri Joann Carter-Graves, BA, CA, CFPS

  • Behavior Technician
  • Columbus, OH
  • NPI 1811771611
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1598537920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11701",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432110701",
            "telephone_number": "614-984-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 N NELSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192608",
            "telephone_number": "614-984-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING VICTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "CARTER-GRAVES",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-984-3838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haniyyah Iliasu, RN
• Donna J Ilievski, CNP
• Geeta Sai Ilipilla, M.D.
• Ill Stay Home LLC
• Illumia Health, LLC
• Ilwad Healthcare Services LLC.
• Farhan Zaheer Ilyas
• Imagine Columbus Primary Academy
• Imagine Great Western Academy
• Imagyn Medical Associates, LTD

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.