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ILLUMINATION, LLC
NPI 1194140749
Community/Behavioral Health in St Louis Park, MN

Active since February 19, 2014
1660 HIGHWAY 100 S, SUITE 502, ST LOUIS PARK, MN 55416(612) 239-6017 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illumination, Llc NPPES

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

ILLUMINATION, LLC (NPI 1194140749) is a healthcare organization registered as a community/behavioral health in St Louis Park, Minnesota and active in the NPI registry since February 2014. The organization lists Sarah Gravelle Thoeny, Owner, as its authorized official.

NPPES Registry Identity

NPI1194140749
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameILLUMINATION, LLC
Location Address1660 HIGHWAY 100 S, SUITE 502St Louis Park, MN 55416-1529
Mailing Address1660 Highway 100 S, Suite 502St Louis Park, MN 55416-1529 · (612) 239-6017
Phone(612) 239-6017
Organization SubpartNo
Authorized OfficialSarah Gravelle ThoenyOwner · (612) 239-6017
Enumeration DateFebruary 19, 2014
✔ NPI 1194140749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 2150
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1660 HIGHWAY 100 S, St Louis Park, MN 55416
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Other Providers at the Same Location NPPES 20

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

COLETTE KUHN L.P.
Psychologist (Clinical)
1660 HIGHWAY 100 S, SUITE 250
ST LOUIS PARK, MN 55416
Hennepin County (651) 645-5323
MS. MOLLY LYNN BECKSTROM MA, CEAP
Counselor
1660 HIGHWAY 100 S, SUITE 430
MINNEAPOLIS, MN 55416
Hennepin County (612) 332-4805
MISS LISA MARIE ANDERSON MA
Counselor
1660 HIGHWAY 100 S, PARKDALE PALZA #430
MINNEAPOLIS, MN 55416
Hennepin County (952) 224-9679
DR. JOHN JOSEPH WERTISH D.C.
Chiropractor
1660 HIGHWAY 100 S, STE.146
ST LOUIS PARK, MN 55416
Hennepin County (952) 500-8477
DR. MEGAN LEIGH BEUCKENS D.D.S.
Dentist
1660 HIGHWAY 100 S, SUITE 122
MINNEAPOLIS, MN 55416
Hennepin County (952) 544-4129
AMY PATEFIELD R.D.
Dietitian, Registered
1660 HIGHWAY 100 S, SUITE 250
ST LOUIS PARK, MN 55416
Hennepin County (651) 645-5323
TYRA HUGHES MA, LMFT
Marriage & Family Therapist
1660 HIGHWAY 100 S, SUITE 330
ST LOUIS PARK, MN 55416
Hennepin County (952) 224-0399
DR. DANA MAE HARRINGTON D.C.
Chiropractor
1660 HIGHWAY 100 S, SUITE 146
ST LOUIS PARK, MN 55416
Hennepin County (952) 500-8477

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, LLC's NPI number?

The NPI number for Illumination, LLC is 1194140749. It was assigned to this organization in the NPPES registry on February 19, 2014.

Where is Illumination, LLC located?

Illumination, LLC is located at 1660 Highway 100 S Suite 502, St Louis Park, MN 55416. The listed phone number is (612) 239-6017.

What is Illumination, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Illumination, LLC was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.