Active NPI
Into the Light LLC
- Adult Mental Health Clinic/Center
- Redlands, CA
National Provider Identifier
1669130738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- INTO THE LIGHT LLC
- Practice address
- 101 E Redlands Blvd Ste 170E
Redlands, CA 92373-4700 - Phone
- (909) 233-5634
- NPI assigned
- Dec 6, 2021
- Last updated
- Dec 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Beets
- Title
- Billing Director
- Phone
- (949) 933-1931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
101 E Redlands Blvd Ste 170E
Redlands, CA 92373-4700
Mailing address
101 E Redlands Blvd Ste 170E
Redlands, CA 92373-4700
National Provider Directory
National Provider Directory- Tax ID family
- Into the Light LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Redlands, CA
- NPI 1770361065
Locations
101 E Redlands Blvd
Ste 170
Redlands, CA 92373
Phone (909) 233-5634
Practitioners & affiliated clinicians
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.
-
- Addiction (Substance Use Disorder) Counselor
- Redlands, CA
- NPI 1104349646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1669130738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD STE 170E",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD STE 170E",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734700",
"telephone_number": "909-233-5634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTO THE LIGHT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "BEETS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "949-933-1931"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
- Institute for Behavior Health (Ibh)
- Institute for Behavioral Health
- Institute for Behavioral Health, Inc.
- Institutue for Behavioral Health
- Integrated Elder Care Inc. (Pacific Pines)
- Into the Light LLC
- Asim Parvez Iqbal, D.O.
- Iris Acupuncture and Herbal Clinic
- Susan Irish-Zelener, MFT
- Isabella Possagnoli MD (Serenity Health Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.