Illuminate Mental Health and Wellness Group LLC
NPI 1629959721 · Mental Health Counselor · Appleton, WI
Illuminate Mental Health and Wellness Group LLC is a Mental Health Counselor organization in Appleton, WI (NPI 1629959721).
Provider details
- NPI number
- 1629959721
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dedra Buteyn, Owner, Therapist(920) 215-2260
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
Under 1 yr in 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
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Frequently asked questions
- What is Illuminate Mental Health and Wellness Group LLC's NPI number?
- Illuminate Mental Health and Wellness Group LLC's National Provider Identifier (NPI) is 1629959721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illuminate Mental Health and Wellness Group LLC?
- Illuminate Mental Health and Wellness Group LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Illuminate Mental Health and Wellness Group LLC located?
- Illuminate Mental Health and Wellness Group LLC's practice location on file with NPPES is 626 E Longview Dr Lowr Level, Appleton, WI 54911-2130.
- What is Illuminate Mental Health and Wellness Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Illuminate Mental Health and Wellness Group LLC is (920) 215-2260.
- Who is the authorized official for Illuminate Mental Health and Wellness Group LLC?
- The authorized official listed on Illuminate Mental Health and Wellness Group LLC's NPPES record is Dedra Buteyn, Owner, Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illuminate Mental Health and Wellness Group LLC's NPI active?
- Yes — Illuminate Mental Health and Wellness Group LLC's NPI (1629959721) is active in the NPPES registry as of the last update on 2025-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.