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ILLUMINATION PSYCHOTHERAPY, PLLC
NPI 1245093590
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ann Arbor, MI

Active since January 31, 2024
450 S MAPLE RD STE 858, ANN ARBOR, MI 48103(773) 318-7304 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illumination Psychotherapy, Pllc NPPES

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

ILLUMINATION PSYCHOTHERAPY, PLLC (NPI 1245093590) is a healthcare organization registered as a mental health (including community mental health center) in Ann Arbor, Michigan and active in the NPI registry since January 2024. The organization lists Garrett Shotwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1245093590
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameILLUMINATION PSYCHOTHERAPY, PLLC
Location Address450 S MAPLE RD STE 858Ann Arbor, MI 48103-3835
Mailing Address1715 Abbott AveAnn Arbor, MI 48103-4107 · (773) 318-7304
Phone(773) 318-7304
Organization SubpartNo
Authorized OfficialGarrett ShotwellOwner · (773) 318-7304
Enumeration DateJanuary 31, 2024
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1245093590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
450 S MAPLE RD STE 858, Ann Arbor, MI 48103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Psychotherapy, PLLC's NPI number?

The NPI number for Illumination Psychotherapy, PLLC is 1245093590. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Illumination Psychotherapy, PLLC located?

Illumination Psychotherapy, PLLC is located at 450 S Maple Rd Ste 858, Ann Arbor, MI 48103. The listed phone number is (773) 318-7304.

What is Illumination Psychotherapy, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Illumination Psychotherapy, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Illumination Psychotherapy, PLLC 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 Illumination Psychotherapy, PLLC was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.