Illuminate Psychotherapy PLLC
NPI 1417568890 · Clinical Psychologist · Chattanooga, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Illuminate Psychotherapy PLLC is a Clinical Psychologist organization in Chattanooga, TN (NPI 1417568890).
Provider details
- NPI number
- 1417568890
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Judy Gilliam, Administrative Expert(423) 510-1999
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Frequently asked questions
- What is Illuminate Psychotherapy PLLC's NPI number?
- Illuminate Psychotherapy PLLC's National Provider Identifier (NPI) is 1417568890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illuminate Psychotherapy PLLC?
- Illuminate Psychotherapy PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Illuminate Psychotherapy PLLC located?
- Illuminate Psychotherapy PLLC's practice location on file with NPPES is 101 Jordan Dr, Chattanooga, TN 37421-6732.
- What is Illuminate Psychotherapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Illuminate Psychotherapy PLLC is (423) 510-1999.
- Does Illuminate Psychotherapy PLLC accept Medicare?
- Illuminate Psychotherapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Illuminate Psychotherapy PLLC?
- The authorized official listed on Illuminate Psychotherapy PLLC's NPPES record is Judy Gilliam, Administrative Expert. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illuminate Psychotherapy PLLC's NPI active?
- Yes — Illuminate Psychotherapy PLLC's NPI (1417568890) is active in the NPPES registry as of the last update on 2020-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.