ILLUMINATION COUNSELING LLC
NPI 1053148866
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR
About Illumination Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILLUMINATION COUNSELING LLC (NPI 1053148866) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since September 2024. The organization lists Gayle Marie Waitches, Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Illumination Counseling LLC's NPI number?
The NPI number for Illumination Counseling LLC is 1053148866. It was assigned to this organization in the NPPES registry on September 16, 2024.
Where is Illumination Counseling LLC located?
Illumination Counseling LLC is located at 2922 SW 2nd Ave, Portland, OR 97201. The listed phone number is (503) 705-8489.
What is Illumination Counseling LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Illumination Counseling LLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Illumination Counseling Llc · NPI 1053148866
Mental Health (Including Community Mental Health Center) organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since September 16, 2024.
## Identity
- **NPI:** 1053148866 (Entity type: Organization)
- **Enumerated:** September 16, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Gayle Waitches, THERAPIST
## Practice location
- **Address:** 2922 SW 2ND AVE, Portland, OR 97201-4714
- **Phone:** (503) 705-8489
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053148866) · Data from the CMS NPPES public registry.