Organization Active NPI

Into the Light LLC

  • Adult Mental Health Clinic/Center
  • Redlands, CA
National Provider Identifier
1669130738
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.