Organization Active NPI

Illuminating Perspectives Counseling & Consultation, LLC

  • Counseling Psychologist
  • Van Buren TWP, MI
National Provider Identifier
1780363465
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
ILLUMINATING PERSPECTIVES COUNSELING & CONSULTATION, LLC
Practice address
13377 Lake Point Blvd
Van Buren TWP, MI 48111-2288
Phone
(716) 480-4152
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jamye R Banks, PHDNPI 1871229724
Title
Owner/Psychologist
Phone
(716) 480-4152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

13377 Lake Point Blvd
Van Buren TWP, MI 48111-2288

Mailing address

2035 Hogback Rd Ste 201
Ann Arbor, MI 48105-9488
Phone (734) 252-6258

Other practice location 1

2035 Hogback Rd Ste 201
Ann Arbor, MI 48105-9488
Phone (734) 252-6258

National Provider Directory

National Provider Directory

Locations

2035 Hogback Rd
Ste 201
Ann Arbor, MI 48105
Phone (248) 509-4617

2601 Jackson Ave
#1158
Ann Arbor, MI 48103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1780363465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059488",
            "telephone_number": "734-252-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13377 LAKE POINT BLVD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481112288",
            "telephone_number": "716-480-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Hogback Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059488",
            "country_code": "US",
            "telephone_number": "734-252-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLUMINATING PERSPECTIVES COUNSELING & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "JAMYE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "716-480-4152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.