Radiant Leaf Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RADIANT LEAF COUNSELING

Practice address

19302 SW Marshmallow PL
Bend, OR 97702-5010

Phone

(503) 459-3747

NPI assigned

May 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Atsachanh NonnarathNPI 1316650443

Title

Counselor

Phone

(503) 459-3747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atsachanh Nonnarath

  • Mental Health Counselor
  • Bend, OR
  • NPI 1316650443
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1033800586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NW FLANDERS ST # 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092645",
            "telephone_number": "503-459-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19302 SW MARSHMALLOW PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977025010",
            "telephone_number": "503-459-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LEAF COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "NONNARATH",
        "authorized_official_first_name": "ATSACHANH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-459-3747"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.