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

Illuminate Mental Health LLC

Organization Mental Health Counselor · NPI 1083436067

Illuminate Mental Health LLC is a Mental Health Counselor in Appleton, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

626 E Longview Dr Lowr Level
Appleton, WI 54911-2130
Phone: (920) 215-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1083436067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dedra Buteyn — Owner · (920) 215-2260
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address626 E Longview Dr Lowr Level, Appleton, WI 54911-2130

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