OrganizationActive
Illuminated Self Therapy Services LLC
NPI 1669327938 · Mental Health Counselor · Springdale, OH
Provider details
- NPI number
- 1669327938
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Niki Kenley, Owner(513) 580-4435
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
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
2 documented practice locations
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
1329 E Kemper Rd Ste 4212b
Springdale, OH 45246-5100
Phone: (513) 580-4435
Fax: (513) 832-0499
Street-level locationGet directions
Mailing address
1329 E Kemper Rd Ste 4212b
Springdale, OH 45246-5100
Additional practice locations (1)
- 1565 Reid AveCincinnati, OH 45224-2150Phone: (513) 580-4435Fax: (513) 832-0499
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.