Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Illuminate Mental Health and Wellness Group

Organization Mental Health Counselor · NPI 1629959721

Illuminate Mental Health and Wellness Group provides Mental Health Counselor services 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
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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 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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