OrganizationActive
Illumine LLC
NPI 1750742664 · Professional Counselor · Waldorf, MD
Illumine LLC is a Professional Counselor organization in Waldorf, MD (NPI 1750742664).
Provider details
- NPI number
- 1750742664
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Wade Green, Partner(301) 928-6045
- License
- LC2196 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
605 Post Office Rd Ste 301
Waldorf, MD 20602-1913
Phone: (301) 928-6045
Street-level locationGet directions
Mailing address
605 Post Office Rd Ste 301
Waldorf, MD 20602-1913
Registry dates
- Enumerated
- 2016-03-19
- Last updated
- 2016-03-19
Frequently asked questions
- What is Illumine LLC's NPI number?
- Illumine LLC's National Provider Identifier (NPI) is 1750742664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illumine LLC?
- Illumine LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Illumine LLC located?
- Illumine LLC's practice location on file with NPPES is 605 Post Office Rd Ste 301, Waldorf, MD 20602-1913.
- What is Illumine LLC's phone number?
- The practice phone number listed in the NPPES registry for Illumine LLC is (301) 928-6045.
- Who is the authorized official for Illumine LLC?
- The authorized official listed on Illumine LLC's NPPES record is Wade Green, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illumine LLC's NPI active?
- Yes — Illumine LLC's NPI (1750742664) is active in the NPPES registry as of the last update on 2016-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.