Illuminate Mental Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ILLUMINATE MENTAL HEALTH, LLC

Doing business as

Illuminate Mental Health, LLC

Practice address

132 S Market St Ste 205
Wooster, OH 44691-4765

Phone

(330) 317-7240

NPI assigned

Mar 10, 2021

Last updated

Mar 10, 2021By 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

Angela Kay Workman, LISW-SNPI 1841688751

Title

Lisw-S

Phone

(330) 317-7240

Specialties & licenses 1

Addresses

Other names 1

• Illuminate Mental Health, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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.

• Karen S Becker, MA, PCC-S, LSW

  • Professional Counselor
  • Wooster, OH
  • NPI 1710335153
  Medicare reassignment NPD
• Abby Fischer

  • Clinical Social Worker
  • Wooster, OH
  • NPI 1376905927
  Medicare reassignment NPD
• Angela Workman, LISW

  • Clinical Social Worker
  • Wooster, OH
  • NPI 1841688751
  NPD Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1871178947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BROOKSIDE DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911526",
            "telephone_number": "330-317-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S MARKET ST STE 205",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914765",
            "telephone_number": "330-317-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LISW-S",
        "authorized_official_telephone_number": "330-317-7240",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate Mental Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Huskins, MA LSW
• Nathan Huston, MS, ATC
• Brittany Hymes, LPC
• Sarah Ickes, RPH, PHARMD
• Denise L. Iden, BSSW, LSW
• Kirsten Nicole Imhoff, RD, LD
• Crystal Indermuhle
• Shayna Indermuhle, COTA
• Carol Jean Inkrott, RD,LD,CDE
• Mansour S Isckarus, M.D.

• Clinical Social Worker in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.