Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illuminate Mental Health and Wellness Group

Organization Mental Health Counselor · NPI 1629959721

Illuminate Mental Health and Wellness Group is a Mental Health Counselor in Appleton, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

626 E Longview Dr Lowr Level
Appleton, WI 54911-2130
Phone: (920) 215-2260
Fax: (920) 308-0702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1629959721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dedra Buteyn — Owner, Therapist · (920) 215-2260
NPI enumeratedSeptember 8, 2025
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address626 E Longview Dr Lowr Level, Appleton, WI 54911-2130

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