Radiant Ally Therapy & Consulting Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RADIANT ALLY THERAPY & CONSULTING SERVICES, LLC

Practice address

1911 S National Ave Ste 401
Springfield, MO 65804-2213

Phone

(417) 719-0973

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Ra Young Suh, LCSWNPI 1932404621

Title

Therapist

Phone

(417) 719-0973

Specialties & licenses 1

Addresses

Other names 1

• Radiant Therapy Doing business as

Locations

Practitioners 2

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

• Ra Young Suh, LCSW

  • Clinical Social Worker
  • Springfield, MO
  • NPI 1932404621
  NPD Authorized official
• David Johnson, MS, LPC

  • Professional Counselor
  • Springfield, MO
  • NPI 1750067229
  NPD (past)

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1033968268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 E SUMMER SET ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658029776",
            "telephone_number": "417-719-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE STE 401",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-719-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT ALLY THERAPY & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "RA",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "417-719-0973",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiant Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tapasya Raavi, MD
• Lindsey Racz, LPC
• Holly Rader, SLP
• Tara Rader
• Lori Renee Radford, PLPC
• Radiation Oncology of the Ozarks, Inc.
• Barbara Lea Radovanovich, PHD
• Raffaele Pennella MD LLC
• Hannah G Ragain, LMSW
• James Alton Ragland, C.R.N.A.

• All providers in Springfield, MO
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.