Illuminated Path LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ILLUMINATED PATH LLC

Practice address

7351 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1572

Phone

(702) 886-0961

NPI assigned

Jan 22, 2019

Last updated

Jan 22, 2019By 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

Saritha L Farris, LCSWNPI 1194029785

Title

Owner

Phone

(702) 886-0961

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 7

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.

• Saritha Latrice Farris

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1194029785
  Medicare reassignment Authorized official
• Idrish Farris

  • Mental Health Counselor
  • North Las Vegas, NV
  • NPI 1811279920
  NPD
• Robin Shanetta Franklin

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1528958204
  NPD (past)
• Samuel Hickson, PHD, LCSW, NPT-C

  • Clinical Social Worker
  • Henderson, NV
  • NPI 1083365589
  NPD (past)
• Beatriz Yareth Juarez-Ocampo

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1043022395
  NPD (past)
• Clohe Lamb, LMSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1164234456
  NPD (past)
• Jessica Naumu

  • Social Worker
  • Las Vegas, NV
  • NPI 1679428627
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1689138877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82335",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891802335",
            "telephone_number": "702-886-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 W CHARLESTON BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171572",
            "telephone_number": "702-886-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "SARITHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-886-0961",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliad and Odyssey Behavioral Health LLC (Iliad & Odyssey Behavioral Health)
• Mariella Ilkiaeiv
• Maylin Illas Rodriguez
• Kevin Jan Illastron
• Hima B. Illindala, MD
• Illuminations Counseling, LLC
• Illuminations Counseling, LLC (True Care Treatment Centers)
• Illumine Health
• Amely Domingo Illustrisimo, RN
• Orlando Camocamo Illustrisimo Jr.

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.