Illuminate Mental Health PA
NPI 1720840846 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL
Illuminate Mental Health PA is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Jacksonville, FL (NPI 1720840846).
Provider details
- NPI number
- 1720840846
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Mewhorter, Vice President/Officer(540) 222-3495
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Other names (DBA / former)
- Doing business as
- Illuminate Mental Health
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Illuminate Mental Health PA's NPI number?
- Illuminate Mental Health PA's National Provider Identifier (NPI) is 1720840846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illuminate Mental Health PA?
- Illuminate Mental Health PA is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Illuminate Mental Health PA located?
- Illuminate Mental Health PA's practice location on file with NPPES is 12627 San Jose Blvd Ste 301, Jacksonville, FL 32223-8639.
- What is Illuminate Mental Health PA's phone number?
- The practice phone number listed in the NPPES registry for Illuminate Mental Health PA is (540) 222-3495.
- Who is the authorized official for Illuminate Mental Health PA?
- The authorized official listed on Illuminate Mental Health PA's NPPES record is Matthew Mewhorter, Vice President/Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illuminate Mental Health PA's NPI active?
- Yes — Illuminate Mental Health PA's NPI (1720840846) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.