ILLUMINATE NC
NPI 1821844796
Counselor - Addiction (Substance Use Disorder) in Henderson, NC

Q: What is Illuminate North Carolina's NPI number?

The NPI number for Illuminate North Carolina is 1821844796. It was assigned to this organization in the NPPES registry on April 30, 2024. The provider is doing business as Illuminate Nc.

Q: What is Illuminate North Carolina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since April 30, 2024CLIA 34D2316885 · Waiver

100 S GARNETT ST UNIT 105, HENDERSON, NC 27536(919) 622-5532 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Apr 30, 2024 (2 updates tracked since 2024).

On this page

About Illuminate Nc NPPES

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

ILLUMINATE NC (NPI 1821844796) is a healthcare organization registered as an addiction (substance use disorder) in Henderson, North Carolina and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Lindsey Humphreys, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1821844796

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameILLUMINATE NORTH CAROLINA

Location Address100 S GARNETT ST UNIT 105Henderson, NC 27536-4642

Mailing Address100 S Garnett St Unit 105Henderson, NC 27536-4642 · (919) 622-5532

Phone(919) 622-5532

Organization SubpartNo

Authorized OfficialLindsey HumphreysExecutive Director · (919) 622-5532

Enumeration DateApril 30, 2024

Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1821844796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

100 S GARNETT ST UNIT 105, Henderson, NC 27536

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Other Names 1

Doing Business AsIlluminate Nc

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2316885

Illuminate North Carolina · Henderson, NC

Active · expires Jan 13, 2027

CLIA Number34D2316885

Laboratory TypeSubstance Abuse Intensive

Certificate Effective DateJanuary 14, 2025

Certificate Expiration DateJanuary 13, 2027

Laboratory DirectorLindsey M. Humphreys

Laboratory Phone(919) 622-5532

Laboratory LocationIlluminate North Carolina510 Dabney Drive Suite C, Henderson, NC 27536

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 North Carolina's NPI number?

The NPI number for Illuminate North Carolina is 1821844796. It was assigned to this organization in the NPPES registry on April 30, 2024. The provider is doing business as Illuminate Nc.

Where is Illuminate North Carolina located?

Illuminate North Carolina is located at 100 S Garnett St Unit 105, Henderson, NC 27536. The listed phone number is (919) 622-5532.

What is Illuminate North Carolina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Illuminate North Carolina hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2316885) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Illuminate North Carolina was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.