NPIMap

Organization Active NPI

Illuminated Direction, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1891434056
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ILLUMINATED DIRECTION, LLC
Practice address
312 N Charles St Ste 300&400
Baltimore, MD 21201-4360
Phone
(919) 452-7931
NPI assigned
Jun 3, 2022
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Jonathan Lacewell
Title
Ceo
Phone
(919) 452-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

312 N Charles St Ste 300&400
Baltimore, MD 21201-4360

Mailing address

312 N Charles St Ste 300
Baltimore, MD 21201-4322

National Provider Directory

National Provider Directory
Tax ID family
Illuminated Direction LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 N Charles St
Ste 300
Baltimore, MD 21201
Phone (443) 955-0048

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1891434056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N CHARLES ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N CHARLES ST STE 300&400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014360",
            "telephone_number": "919-452-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED DIRECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "LACEWELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-452-7931"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.