ILLUMINATE THERAPY LLC
NPI 1194367953
Counselor - Professional in Fenton, MI

Active since October 14, 2019
234 W CAROLINE ST STE 3, FENTON, MI 48430(517) 974-9353 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2025, Oct 14, 2019 (2 updates tracked since 2019).

About Illuminate Therapy Llc NPPES

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

ILLUMINATE THERAPY LLC (NPI 1194367953), doing business as Illuminate Therapy, is a healthcare organization registered as a professional in Fenton, Michigan and active in the NPI registry since October 2019. The organization lists Amy Thompson, Owner, as its authorized official.

NPPES Registry Identity

NPI1194367953
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameILLUMINATE THERAPY LLC
Location Address234 W CAROLINE ST STE 3Fenton, MI 48430-2807
Mailing Address234 W Caroline St Ste 3Fenton, MI 48430-2807 · (517) 974-9353
Organization SubpartNo
Authorized OfficialAmy ThompsonOwner · (517) 974-9353
Enumeration DateOctober 14, 2019
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1194367953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
234 W CAROLINE ST STE 3, Fenton, MI 48430

Other Names 1

Doing Business AsIlluminate Therapy

Other Identifiers 1

Medicaid1306242623MI

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illuminate Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Illuminate Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1306242623
234 W CAROLINE ST STE 3
Fenton, MI 48430
(517) 974-9353
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Therapy LLC's NPI number?

The NPI number for Illuminate Therapy LLC is 1194367953. It was assigned to this organization in the NPPES registry on October 14, 2019. The provider is doing business as Illuminate Therapy.

Where is Illuminate Therapy LLC located?

Illuminate Therapy LLC is located at 234 W Caroline St Ste 3, Fenton, MI 48430. The listed phone number is (517) 974-9353.

What is Illuminate Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Illuminate Therapy LLC enrolled in Medicare?

Yes. Illuminate Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illuminate Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Illuminate Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Illuminate Therapy LLC accept?

Health plans from Blue Care Network of Michigan list Illuminate Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Illuminate Therapy LLC was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.