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ILLUME COUNSELING & PLAY THERAPY
NPI 1508472648
Counselor - Mental Health in Destin, FL

Active since September 22, 2020
35008 EMERALD COAST PKWY STE 203, DESTIN, FL 32541(251) 209-0680 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2020, Sep 22, 2020 (2 updates tracked since 2020).

About Illume Counseling & Play Therapy NPPES

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

ILLUME COUNSELING & PLAY THERAPY (NPI 1508472648) is a healthcare organization registered as a mental health in Destin, Florida and active in the NPI registry since September 2020. The organization lists Kelsey Laine Backes, President, as its authorized official.

NPPES Registry Identity

NPI1508472648
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameILLUME COUNSELING & PLAY THERAPY
Location Address35008 EMERALD COAST PKWY STE 203Destin, FL 32541-4752
Mailing Address416 Primrose CirDestin, FL 32541-2232 · (251) 209-0680
Phone(251) 209-0680
Organization SubpartNo
Authorized OfficialKelsey Laine BackesPresident · (251) 209-0216
Enumeration DateSeptember 22, 2020
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1508472648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
35008 EMERALD COAST PKWY STE 203, Destin, FL 32541
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Illume Counseling & Play Therapy's NPI number?

The NPI number for Illume Counseling & Play Therapy is 1508472648. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Illume Counseling & Play Therapy located?

Illume Counseling & Play Therapy is located at 35008 Emerald Coast Pkwy Ste 203, Destin, FL 32541. The listed phone number is (251) 209-0680.

What is Illume Counseling & Play Therapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Illume Counseling & Play Therapy was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.