ILLUMINATION PSYCHOTHERAPY SERVICES, LLC.
NPI 1609376987
Community/Behavioral Health in Lakeville, MA

Q: What is Illumination Psychotherapy Services, LLC.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 13, 2018

4 WYNDHAM RD, LAKEVILLE, MA 02347(508) 728-1149 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, May 1, 2026, Feb 13, 2018 (3 updates tracked since 2018).

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About Illumination Psychotherapy Services, Llc. NPPES

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

ILLUMINATION PSYCHOTHERAPY SERVICES, LLC. (NPI 1609376987) is a healthcare organization registered as a community/behavioral health in Lakeville, Massachusetts and active in the NPI registry since February 2018. The organization lists Kathryn Fernandes, Owner, as its authorized official.

NPPES Registry Identity

NPI1609376987

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameILLUMINATION PSYCHOTHERAPY SERVICES, LLC.

Location Address4 WYNDHAM RDLakeville, MA 02347-2264

Mailing AddressPo Box 915Lakeville, MA 02347-0915

Phone(508) 728-1149

Organization SubpartNo

Authorized OfficialKathryn FernandesOwner · (508) 728-1149

Enumeration DateFebruary 13, 2018

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1609376987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4 WYNDHAM RD, Lakeville, MA 02347

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illumination Psychotherapy Services, 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 Illumination Psychotherapy Services, LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathryn Fernandes, LMHC

Mental Health Counselor

NPI 1831549807

PO BOX 915
Lakeville, MA 02347

(508) 728-1149

✔ PECOS✔ Accepts Medicare3.0 mi

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 Illumination Psychotherapy Services, LLC.'s NPI number?

The NPI number for Illumination Psychotherapy Services, LLC. is 1609376987. It was assigned to this organization in the NPPES registry on February 13, 2018.

Where is Illumination Psychotherapy Services, LLC. located?

Illumination Psychotherapy Services, LLC. is located at 4 Wyndham Rd, Lakeville, MA 02347. The listed phone number is (508) 728-1149.

What is Illumination Psychotherapy Services, LLC.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Illumination Psychotherapy Services, LLC. enrolled in Medicare?

Yes. Illumination Psychotherapy Services, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illumination Psychotherapy Services, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Illumination Psychotherapy Services, 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 Illumination Psychotherapy Services, LLC. was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.