Ignite Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IGNITE THERAPY LLC

Practice address

535 W Butler Rd Ste C
Greenville, SC 29607-4833

Phone

(864) 660-3616

NPI assigned

Feb 19, 2022

Last updated

Oct 3, 2022By 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

Jacquelynn Mueller, MMFT, LMFT, AADC, CSNPI 1124773908

Title

Owner/Therapist

Phone

(864) 660-3616

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.

• Jacquelynn Sue Mueller, LMFT, AADC, CS

  • Marriage & Family Therapist
  • Greenville, SC
  • NPI 1124773908
  NPD Authorized official

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1679228456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W BUTLER RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-660-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W BUTLER RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-660-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JACQUELYNN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "864-660-3616",
        "authorized_official_credential": "MMFT, LMFT, AADC, CS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Ibrahim
• Sanjana Iddyadinesh, D.O
• Irum Mona Idrees, M.D
• Ig Medical Billing & Consulting LLC
• Amanda Marie McCoy Ignaut, NP
• Gregory Scott Iles, PA-C
• Imc of South Carolina
• Imc of South Carolina
• Img Clinic PLLC
• Impressive Homecare Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenville, SC
• Providers in Greenville, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.