Radiance Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RADIANCE PSYCHOTHERAPY

Practice address

1700 Sansom St Ste 401
Philadelphia, PA 19103-5210

Phone

(215) 880-7331

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Williams, LPCNPI 1487013462

Title

Ceo

Phone

(215) 880-7331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Williams, LPC

  • Professional Counselor
  • Trevose, PA
  • NPI 1487013462
  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1033818570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035210",
            "telephone_number": "215-880-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035210",
            "telephone_number": "215-880-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-880-7331",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1487013462",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Raddawi
• Deshawn Melvin Radden, DPM
• Daniel J Rader, MD
• Shawn Christopher Radford, M.D.
• Radiance Medical Group
• Radiance Therapy Group
• Radiant Light Home Care
• Katie L Radie, LCSW
• Radiology Associates of Children's Hospital, Inc (Rach)
• Radiology for South Philadelphia, P.C.

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.