Illuminated Self Therapy Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ILLUMINATED SELF THERAPY SERVICES LLC

Practice address

1329 E Kemper Rd Ste 4212B
Springdale, OH 45246-5100

Phone

(513) 580-4435

Fax

(513) 832-0499

NPI assigned

Mar 3, 2026

Last updated

Apr 20, 2026By 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

Niki Lenae Kenley, LPCCNPI 1386292753

Title

Owner

Phone

(513) 580-4435

Specialties & licenses 1

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.

• Niki Lenae Kenley, MA

  • Mental Health Counselor
  • Springdale, OH
  • NPI 1386292753
  NPD Authorized official

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1669327938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 E KEMPER RD STE 4212B",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452465100",
            "telephone_number": "513-580-4435",
            "fax_number": "513-832-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E KEMPER RD STE 4212B",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452465100",
            "telephone_number": "513-580-4435",
            "fax_number": "513-832-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1565 Reid Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452242150",
            "country_code": "US",
            "telephone_number": "513-580-4435",
            "fax_number": "513-832-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLUMINATED SELF THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "KENLEY",
        "authorized_official_first_name": "NIKI",
        "authorized_official_middle_name": "LENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-580-4435",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Springdale, OH
• Providers in Springdale, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.