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ILLUMINATE MENTAL HEALTH PA
NPI 1720840846
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, FL

Active since January 24, 2024
12627 SAN JOSE BLVD STE 301, JACKSONVILLE, FL 32223(540) 222-3495 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illuminate Mental Health Pa NPPES

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

ILLUMINATE MENTAL HEALTH PA (NPI 1720840846), doing business as Illuminate Mental Health, is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, Florida and active in the NPI registry since January 2024. The organization lists Matthew Mewhorter, Vice President/officer, as its authorized official.

NPPES Registry Identity

NPI1720840846
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameILLUMINATE MENTAL HEALTH PA
Location Address12627 SAN JOSE BLVD STE 301Jacksonville, FL 32223-8639
Mailing Address681 Box Branch CirSt Johns, FL 32259-4379 · (540) 222-3495
Phone(540) 222-3495
Organization SubpartNo
Authorized OfficialMatthew MewhorterVice President/officer · (540) 222-3495
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1720840846 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
12627 SAN JOSE BLVD STE 301, Jacksonville, FL 32223
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Other Names 1

Doing Business AsIlluminate Mental Health

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN BURNHAM COUNSELING, LLC
Community/Behavioral Health
12627 SAN JOSE BLVD STE 301
JACKSONVILLE, FL 32223
Duval County (904) 458-5787
CLARITY PSYCHOLOGICAL TESTING PLCC
Psychologist
12627 SAN JOSE BLVD STE 301
JACKSONVILLE, FL 32223
Duval County (904) 736-2736
MS. SUZANNE ARENDT SINNWELL MS, ATR, LMHC
Counselor (Mental Health)
12627 SAN JOSE BLVD STE 301
JACKSONVILLE, FL 32223
Duval County (904) 467-5576
KAREN BURNHAM
Counselor (Mental Health)
12627 SAN JOSE BLVD STE 301
JACKSONVILLE, FL 32223
Duval County (904) 458-5787
SUZANNE SINNWELL COUNSELING LLC
Counselor (Mental Health)
12627 SAN JOSE BLVD STE 301
JACKSONVILLE, FL 32223
Duval County (904) 467-5576

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 Illuminate Mental Health PA's NPI number?

The NPI number for Illuminate Mental Health PA is 1720840846. It was assigned to this organization in the NPPES registry on January 24, 2024. The provider is doing business as Illuminate Mental Health.

Where is Illuminate Mental Health PA located?

Illuminate Mental Health PA is located at 12627 San Jose Blvd Ste 301, Jacksonville, FL 32223. The listed phone number is (540) 222-3495.

What is Illuminate Mental Health PA'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.

When was this NPI record last updated?

The NPPES record for Illuminate Mental Health PA was last updated on January 24, 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.