Illuminate Counseling MFT PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ILLUMINATE COUNSELING MFT PLLC

Practice address

2901 Central St Ste 5
Evanston, IL 60201-1288

Phone

(872) 265-1144

NPI assigned

Feb 21, 2025

Last updated

Feb 26, 2025By 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

Jillian MizrajiNPI 1043995178

Title

Owner

Phone

(872) 265-1144

Specialties & licenses 1

Addresses

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.

• Jillian Mizraji

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1043995178
  NPD Authorized official

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1942006739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CENTRAL ST STE 5",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CENTRAL ST STE 5",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011288",
            "telephone_number": "872-265-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE COUNSELING MFT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MIZRAJI",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-265-1144"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.