ILLUME NORTH, LLC
NPI 1639789019
Counselor - Mental Health in Duluth, MN

NPI Status: Active since July 31, 2020

Contact Information

324 W SUPERIOR ST
630 MEDICAL ARTS
DULUTH, MN
ZIP 55802
Phone: (218) 380-7119
Fax: (651) 925-0039

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  • Organization
  • Counselor
  • Mental Health
  • Accepts Insurance

About ILLUME NORTH, LLC

This page provides the complete NPI Profile along with additional information for Illume North, Llc, a provider established in Duluth, Minnesota operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1639789019 assigned on July 2020. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Illume North, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sara Vaccarella Psyd (President)

NPI
1639789019
Provider Name
ILLUME NORTH, LLC
Entity Type
Organization
Location Address
324 W SUPERIOR ST 630 MEDICAL ARTS DULUTH, MN 55802
Location Phone
(218) 380-7119
Location Fax
(651) 925-0039
Mailing Address
324 W SUPERIOR ST # 630 DULUTH, MN 55802
Mailing Phone
(218) 380-7119
Mailing Fax
(651) 925-0039
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2020
Last Update Date
02-01-2021
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A mental health counselor like Illume North, Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARA VACCARELLA PSYD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(218) 302-4678

Reviews for ILLUME NORTH, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639789019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691481802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 8 + 1 + 8 + 0 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639789019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073517447DR. EILEEN E. PATTERSON D.D.S.
Individual
Dentist324 W SUPERIOR ST STE 1130
DULUTH, MN 55802
(218) 722-1949
1396740023DR. DAVID R JENNINGS DDS
Individual
Dentist (Oral and Maxillofacial Surgery)324 W SUPERIOR ST STE 720
DULUTH, MN 55802
(218) 727-8994
1952363616 STACEY ANN NIPP DPM
Individual
Podiatrist324 W SUPERIOR ST STE 408
DULUTH, MN 55802
(218) 722-0615
1730141458DR. STEPHEN DRANNEN JOHNSON D.D.S.
Individual
Dentist (General Practice)324 W SUPERIOR ST MEDICAL ARTS BUILDING SUITE 930
DULUTH, MN 55802
(218) 727-5041
1801845565DR. DAVID R ALBRIGHT M.D.
Individual
Internal Medicine324 W SUPERIOR ST
DULUTH, MN 55802
(218) 727-8585
1497705487DR. THEODORE H. HARWOOD MD
Individual
Internal Medicine324 W SUPERIOR ST SUITE 220
DULUTH, MN 55802
(218) 727-8585
1184675639DR. DAVID NEWTON SPROAT MD
Individual
Internal Medicine324 W SUPERIOR ST SUITE 220
DULUTH, MN 55802
(218) 727-8585
1194776237DR. MICHAEL J. HUSKA MD
Individual
Internal Medicine324 W SUPERIOR ST SUITE 220
DULUTH, MN 55802
(218) 727-8585
1700819356 WAYNE CHARLES GATLIN JR.
Individual
Dentist (General Practice)324 W SUPERIOR ST STE 404
DULUTH, MN 55802
(218) 727-2772
1609801752DR. TIMOTHY ROBERT LANGGUTH DDS
Individual
Dentist (General Practice)324 W SUPERIOR ST SUITE 1111
DULUTH, MN 55802
(218) 722-0219
1497843361DR. GARY JOHN MADISON D.D.S.
Individual
Dentist (General Practice)324 W SUPERIOR ST SUITE 700
DULUTH, MN 55802
(218) 722-7831
1730269069DR. EUGENE T ALTIERE D.D.S., M.S.
Individual
Dentist (Periodontics)324 W SUPERIOR ST SUITE 712
DULUTH, MN 55802
(218) 727-7616
1265514731DR. GLENN ROBERT MEINTS DPM
Individual
Podiatrist (Foot Surgery)324 W SUPERIOR ST STE 517
DULUTH, MN 55802
(218) 722-0326
1356412043DR. JAMES SCHWEIGER D.D.S., M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)324 W SUPERIOR ST SUITE 100
DULUTH, MN 55802
(218) 722-5233
1225102312DR. RICHARD LAWRENCE KRONZER DDS
Individual
Dentist (Endodontics)324 W SUPERIOR ST SUITE 530
DULUTH, MN 55802
(218) 727-7557
1366516460DR. KIMBERLY ANN-DAVIS LINDQUIST DDS. MSD
Individual
Dentist (Endodontics)324 W SUPERIOR ST SUITE 530
DULUTH, MN 55802
(218) 727-7557
1194889188 WALTER E PLUDE MSED, LP
Individual
Psychologist (Clinical)324 W SUPERIOR ST STE 600
DULUTH, MN 55802
(218) 723-8153
1700940715 DAVID BRYAN PLUDE PSYD, LP
Individual
Psychologist (Clinical)324 W SUPERIOR ST STE 600
DULUTH, MN 55802
(218) 723-8153
1932263936 DIEDRE K PLUDE MA, LP
Individual
Psychologist (Clinical)324 W SUPERIOR ST STE 600
DULUTH, MN 55802
(218) 723-8153
1639233646 KIMBERLY D SCHMIDT PSYD, LP
Individual
Psychologist (Clinical)324 W SUPERIOR ST STE 600
DULUTH, MN 55802
(218) 723-8153

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639789019, enumerated in the NPI registry as an "organization" on July 31, 2020

The provider is located at 324 W Superior St 630 Medical Arts Duluth, Mn 55802 and the phone number is (218) 380-7119

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 31, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.