Healthcare Provider Details

I. General information

NPI: 1285562983
Provider Name (Legal Business Name): LUMINA COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 CARRIAGE WAY DR APT 214B
BURR RIDGE IL
60527-5733
US

IV. Provider business mailing address

124 CARRIAGE WAY DR APT 214B
BURR RIDGE IL
60527-5733
US

V. Phone/Fax

Practice location:
  • Phone: 312-605-6776
  • Fax:
Mailing address:
  • Phone: 312-605-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. BILJANA KASUM
Title or Position: PRESIDENT/COUNSELOR
Credential: LCPC
Phone: 312-605-6776