Illuminations, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

01108 Issued in IA

Legal business name

ILLUMINATIONS, INC.

Practice address

515 Grand Ave Ste 104
Ames, IA 50010-6061

Phone

(515) 232-7157

Fax

(515) 232-7116

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Deborah Carnine, L.I.S.W.NPI 1780669556

Title

Owner

Phone

(515) 232-7157

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Deborah Sue Carnine, L.I.S.W.

  • Clinical Social Worker
  • Ames, IA
  • NPI 1780669556
  Authorized official Same address or phone

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1871847202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 GRAND AVE STE 104",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106061",
            "telephone_number": "515-232-7157",
            "fax_number": "515-232-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GRAND AVE STE 104",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106061",
            "telephone_number": "515-232-7157",
            "fax_number": "515-232-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "CARNINE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-232-7157",
        "authorized_official_credential": "L.I.S.W."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IA",
            "license": "01108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198184",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780669556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Ames, IA
• Providers in Ames, IA by specialty
• Adult Mental Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.