ILLUMINATED LIFE COUNSELING LLC
NPI 1407733371
Counselor in Tupelo, MS
About Illuminated Life Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILLUMINATED LIFE COUNSELING LLC (NPI 1407733371) is a healthcare organization registered as a counselor in Tupelo, Mississippi and active in the NPI registry since August 2025. The organization lists Catherine F Baldwyn, 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)
Illuminated Life Counseling 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 Illuminated Life Counseling 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 Illuminated Life Counseling LLC's NPI number?
The NPI number for Illuminated Life Counseling LLC is 1407733371. It was assigned to this organization in the NPPES registry on August 20, 2025.
Where is Illuminated Life Counseling LLC located?
Illuminated Life Counseling LLC is located at 404 N Gloster St, Tupelo, MS 38804. The listed phone number is (662) 350-0567.
What is Illuminated Life Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Illuminated Life Counseling LLC enrolled in Medicare?
Yes. Illuminated Life Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Illuminated Life Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Illuminated Life Counseling 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 Illuminated Life Counseling LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Illuminated Life Counseling Llc · NPI 1407733371
Counselor organization in Tupelo, Mississippi. Organization record, active in the CMS NPPES registry since August 20, 2025.
## Identity
- **NPI:** 1407733371 (Entity type: Organization)
- **Enumerated:** August 20, 2025
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Organization subpart:** No
- **Authorized official:** Catherine Baldwyn, OWNER
## Practice location
- **Address:** 404 N GLOSTER ST, Tupelo, MS 38804-3626
- **Phone:** (662) 350-0567 · **Fax:** (662) 620-7106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407733371) · Data from the CMS NPPES public registry.