ILLUMINATE LIFE THERAPY, LLC
NPI 1194408500
Social Worker - Clinical in Ankeny, IA
About Illuminate Life Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILLUMINATE LIFE THERAPY, LLC (NPI 1194408500) is a healthcare organization registered as a clinical in Ankeny, Iowa and active in the NPI registry since August 2023. The organization lists Carolyn Hollister, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Life 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 Life Therapy, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Life Therapy, LLC's NPI number?
The NPI number for Illuminate Life Therapy, LLC is 1194408500. It was assigned to this organization in the NPPES registry on August 11, 2023.
Where is Illuminate Life Therapy, LLC located?
Illuminate Life Therapy, LLC is located at 1605 N Ankeny Blvd Ste 110, Ankeny, IA 50023. The listed phone number is (515) 520-8164.
What is Illuminate Life Therapy, LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Illuminate Life Therapy, LLC enrolled in Medicare?
Yes. Illuminate Life Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Illuminate Life Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Illuminate Life 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.
When was this NPI record last updated?
The NPPES record for Illuminate Life Therapy, LLC was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Illuminate Life Therapy, Llc · NPI 1194408500
Clinical organization in Ankeny, Iowa. Organization record, active in the CMS NPPES registry since August 11, 2023.
## Identity
- **NPI:** 1194408500 (Entity type: Organization)
- **Enumerated:** August 11, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Carolyn Hollister, OWNER
## Practice location
- **Address:** 1605 N ANKENY BLVD STE 110, Ankeny, IA 50023-4163
- **Phone:** (515) 520-8164
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194408500) · Data from the CMS NPPES public registry.