Illumin8 Psychotherapy and Integrative Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ILLUMIN8 PSYCHOTHERAPY AND INTEGRATIVE HEALTH

Practice address

7191 17TH St N
Oakdale, MN 55128-5405

Phone

(651) 235-7232

NPI assigned

Aug 18, 2025

Organization subpart

No

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

Authorized official

Name

Chantel Jordan, LPCCNPI 1750856134

Title

Founder

Phone

(651) 235-7232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Chantel Alexus Jordan

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1750856134

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1659258291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 17TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285405",
            "telephone_number": "651-235-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 17TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285405",
            "telephone_number": "651-235-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMIN8 PSYCHOTHERAPY AND INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "651-235-7232",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekram Temam Ibrahim
• Kadra Ibrahim
• Zakharia Ibrahim
• Ilhan Idd
• Dorothy Boma Ig-Izevbekhai, PHARMD
• Infectolab Americas LLC
• Integrative Health, LLC
• Integrity Counseling Services, LLC
• Remi O Iselewa, APRN, PMHNP
• Elizabeth Iverson, LICSW, LMFT

• Mental Health Counselor in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.