Illuminated Guidance Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ILLUMINATED GUIDANCE CENTER LLC

Practice address

835 Mason St Ste B295-a
Dearborn, MI 48124-2231

Phone

(734) 265-0890

Fax

(734) 895-3957

NPI assigned

Oct 6, 2025

Organization subpart

No

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

Authorized official

Name

Ebony WillisNPI 1487205787

Title

Owner

Phone

(734) 265-0890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Ebony De-Shonia Willis

  • Mental Health Counselor
  • Dearborn, MI
  • NPI 1487205787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1811862451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B295-A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242231",
            "telephone_number": "734-265-0890",
            "fax_number": "734-895-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B295-A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242231",
            "telephone_number": "734-265-0890",
            "fax_number": "734-895-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED GUIDANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-265-0890"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miar Ideis
• Sarah Ideis
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• Iheal Therapy
• Kimberly Ikewood, FNP
• Farah Imad
• Impg PLLC (Elite Health Associates)
• Zunaira Imran, MD
• Independence Care of Michigan LLC
• Independence Support Services LLC

• Mental Health Counselor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.