ILLUMINATION GERIATRIC CONSULTATION AND COUNSELING SERVICES (NPI# 1265741581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265741581 |
| Entity Type | Organization |
| Organization Name | ILLUMINATION GERIATRIC CONSULTATION AND COUNSELING SERVICES |
| Practice Address |
1832 Scott Rd Burbank CA 91504-3819 |
| Practice Telephone | 8185686244 |
| Mailing Telephone | 8185686244 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | MS. SUSAN MARY MILLER (LICENSED CLINICAL SOCIAL WORKER/CEO) |
| Authorized Official Telephone | 8185686244 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 26431 | CA | Agencies |
| Street Address |
1832 SCOTT RD |
| City | BURBANK |
| State | CA |
| Zip Code | 91504-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609180769 | Susan Mary Miller | Social Worker | 1832 Scott Rd, Burbank, CA 91504-3819 | 2010-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235707 | Anna Melikyan | Specialist/Technologist | 508 Eton Dr, Burbank, CA 91504 | 2018-11-29 |
| 1477929628 | Seville Circle Inc. | Assisted Living Facility | 1900 Grismer Ave., Burbank, CA 91504 | 2015-08-11 |
| 1164840062 | Nuhope Hospice, Inc | Hospice Care, Community Based | 2601 N. Lamer St, Burbank, CA 91504 | 2014-03-29 |
| 1568771046 | Holding Hands, Inc. | Early Intervention Provider Agency | 2101 N. Glenoaks Blvd., Burbank, CA 91504 | 2010-09-30 |
| 1992980106 | Therese Marie Golingay Donnelly | Nurse Practitioner | 2025 North Glenoaks Blvd, Suite 102, Burbank, CA 91504 | 2008-01-07 |
| 1952598930 | Absolute Control Transitional Counseling Center, Inc. | Community/Behavioral Health | 3111 Winona Ave. # 201, Burbank, CA 91504 | 2007-10-03 |
| 1184788358 | Svetlana Liljegren | Dentist | 928 N San Fernando Bl, E, Burbank, CA 91504 | 2006-12-21 |
| 1467522243 | Vivian Blas | Marriage & Family Therapist | 4405 Riverside Dr, Suite 106, Burbank, CA 91504 | 2006-11-08 |
| 1285727180 | Albert F Daher | Pharmacist | 2200 N Glen Oaks Blvd, Burbank, CA 91504 | 2006-10-02 |
| 1730283391 | Gregory M Brooks | Dentist | 903 N San Fernando Blvd, Ste #1, Burbank, CA 91504 | 2006-09-12 |
| Find all providers in zip 91504 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451970 | Best Translation | Community/Behavioral Health | 7756 Via Catalina, Burbank, CA 91504-1111 | 2016-12-13 |
| 1730505348 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2120 N Maple St, Burbank, CA 91505 | 2014-03-07 |
| 1811313422 | Anka Hehavioral Health, Inc. | Community/Behavioral Health | 3318 W Wyoming Ave, Burbank, CA 91505 | 2014-03-07 |
| 1952598930 | Absolute Control Transitional Counseling Center, Inc. | Community/Behavioral Health | 3111 Winona Ave. # 201, Burbank, CA 91504 | 2007-10-03 |
| 1962602839 | Pacific Clinics | Community/Behavioral Health | 827 N Avon St, Burbank, CA 91505-2916 | 2007-07-19 |
| 1992823850 | Olive Crest Treatment Ctr. | Community/Behavioral Health | 710 S Victory Blvd, Suite 201, Burbank, CA 91502-2425 | 2007-03-27 |
| 1194369603 | Valley Psychological Health | Community/Behavioral Health | 4444 W Riverside Dr Ste 307, Burbank, CA 91505-4048 | 2019-10-29 |
| 1760925101 | Thrive Family Counseling, A Professional Corporation | Community/Behavioral Health | 4405 W Riverside Dr, Suite 209, Burbank, CA 91505-4072 | 2016-12-01 |
| 1730570888 | Stephen J. Smith | Community/Behavioral Health | 356 E Olive Ave, Ste 118, Burbank, CA 91502-1222 | 2015-02-11 |
| 1316212269 | Motivational Recovery Services, Inc. | Community/Behavioral Health | 1130 W Olive Ave, Burbank, CA 91506-2214 | 2012-03-11 |
| Find all providers in BURBANK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.