1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Counselor
  6. NPI Profile

ILLUMINATE MENTAL HEALTH LLC
NPI 1083436067
Counselor - Mental Health in Appleton, WI

Active since October 30, 2024
626 E LONGVIEW DR LOWR LEVEL, APPLETON, WI 54911(920) 215-2260 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Illuminate Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMINATE MENTAL HEALTH LLC (NPI 1083436067) is a healthcare organization registered as a mental health in Appleton, Wisconsin and active in the NPI registry since October 2024. The organization lists Dedra M Buteyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1083436067
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameILLUMINATE MENTAL HEALTH LLC
Location Address626 E LONGVIEW DR LOWR LEVELAppleton, WI 54911-2130
Mailing Address626 E Longview Dr Lowr LevelAppleton, WI 54911-2130 · (920) 215-2260
Phone(920) 215-2260
Organization SubpartNo
Authorized OfficialDedra M ButeynOwner · (920) 215-2260
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1083436067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
626 E LONGVIEW DR LOWR LEVEL, Appleton, WI 54911
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLUMINATE MENTAL HEALTH AND WELLNESS GROUP
Counselor (Mental Health)
626 E LONGVIEW DR LOWR LEVEL
APPLETON, WI 54911
Outagamie County (920) 215-2260

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 Illuminate Mental Health LLC's NPI number?

The NPI number for Illuminate Mental Health LLC is 1083436067. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Illuminate Mental Health LLC located?

Illuminate Mental Health LLC is located at 626 E Longview Dr Lowr Level, Appleton, WI 54911. The listed phone number is (920) 215-2260.

What is Illuminate Mental Health LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Illuminate Mental Health LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.