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

Illuminate Mental Health PA

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1720840846

Illuminate Mental Health PA is a Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12627 San Jose Blvd Ste 301
Jacksonville, FL 32223-8639
Phone: (540) 222-3495
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1720840846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Mewhorter — Vice President/Officer · (540) 222-3495
Other names Illuminate Mental Health
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address681 Box Branch Cir, St Johns, FL 32259-4379

Other providers in Jacksonville