Illumine Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ILLUMINE COUNSELING LCSW PLLC

Practice address

131 7TH Ave # 356
New York, NY 10011-1802

Phone

(646) 470-1231

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Tashi Ridley, LCSWNPI 1679978985

Title

Partner

Phone

(212) 287-9357

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tashi Ridley, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1679978985
  NPD Authorized official
• Kimarie Boerger Knowles, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1124200191
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1639875511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 7TH AVE # 356",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111802",
            "telephone_number": "646-470-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 7TH AVE # 356",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111802",
            "telephone_number": "646-470-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Riverside Dr Apt 4C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100312460",
            "country_code": "US",
            "telephone_number": "646-470-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLUMINE COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "TASHI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-287-9357",
        "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": []
}

• Ashley Siomaris Illescas Parapi
• Karina Illescas, MDCM
• Cristina Veltri Illien, RD
• Pavel Illner
• Illuminating Doula
• Illustradent Eastside Dental Services, PLLC
• Illustradent Midtown Dental Services, PLLC
• Ella Ann Illuzzi, NP
• Ilkka Ilonen, MD, PHD
• Alfred Marc Calo Iloreta Jr., M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.