ILLUMINATE LIFE THERAPY, LLC
NPI 1194408500
Social Worker - Clinical in Ankeny, IA

Q: 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.

Q: 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.

Active since August 11, 2023

1605 N ANKENY BLVD STE 110, ANKENY, IA 50023(515) 520-8164 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Aug 11, 2023 (2 updates tracked since 2023).

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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

NPI1194408500

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameILLUMINATE LIFE THERAPY, LLC

Location Address1605 N ANKENY BLVD STE 110Ankeny, IA 50023-4163

Mailing Address1605 N Ankeny Blvd Ste 110Ankeny, IA 50023-4163

Phone(515) 520-8164

Organization SubpartNo

Authorized OfficialCarolyn HollisterOwner · (515) 520-8164

Enumeration DateAugust 11, 2023

Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration

NPPES CertifiedAugust 16, 2023

✔ NPI 1194408500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1605 N ANKENY BLVD STE 110, Ankeny, IA 50023

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

SPEECH NOW THERAPY CENTER

Speech-Language Pathologist