ILLUMINATE
NPI 1336301894
Psychologist in Lake Elmo, MN

Active since June 26, 2008
8615 EAGLE POINT BLVD, LAKE ELMO, MN 55042(651) 264-0444(651) 264-0447 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illuminate NPPES

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

ILLUMINATE (NPI 1336301894) is a healthcare organization registered as a psychologist in Lake Elmo, Minnesota and active in the NPI registry since June 2008. The organization lists Sharon Blossom, President, as its authorized official.

NPPES Registry Identity

NPI1336301894
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBLOSSOM TOWNE ENTERPRISES
Location Address8615 EAGLE POINT BLVDLake Elmo, MN 55042-8628
Mailing Address8615 Eagle Point BlvdLake Elmo, MN 55042-8628 · (651) 264-0444 · Fax (651) 264-0447
Fax(651) 264-0447
Organization SubpartNo
Authorized OfficialSharon BlossomPresident · (651) 264-0444
Enumeration DateJune 26, 2008
NPI 1336301894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP-1196
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
8615 EAGLE POINT BLVD, Lake Elmo, MN 55042

Other Names 1

Doing Business AsIlluminate

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

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 Blossom Towne Enterprises's NPI number?

The NPI number for Blossom Towne Enterprises is 1336301894. It was assigned to this organization in the NPPES registry on June 26, 2008. The provider is doing business as Illuminate.

Where is Blossom Towne Enterprises located?

Blossom Towne Enterprises is located at 8615 Eagle Point Blvd, Lake Elmo, MN 55042. The listed phone number is (651) 264-0444.

What is Blossom Towne Enterprises's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Blossom Towne Enterprises was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.