Organization Active NPI

Illuminated Counseling, PLLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1972366755
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ILLUMINATED COUNSELING, PLLC
Practice address
13220 S 48TH St Apt 1130
Phoenix, AZ 85044-5099
Phone
(602) 551-6515
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Ngozichi NwosuNPI 1235752767
Title
Owner
Phone
(602) 551-6515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13220 S 48TH St Apt 1130
Phoenix, AZ 85044-5099

Mailing address

13220 S 48TH St Apt 1130
Phoenix, AZ 85044-5099

Other names 1

  • Illuminated Counseling Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1972366755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 S 48TH ST APT 1130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 S 48TH ST APT 1130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445099",
            "telephone_number": "602-551-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "NGOZICHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-551-6515"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminated Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.