Active NPI
Radical Healing LLC
- Mental Health Counselor
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RADICAL HEALING LLC
- Practice address
- 90 Madison St Ste 700
Denver, CO 80206-5416 - Phone
- (970) 236-6317
- NPI assigned
- Sep 18, 2024
- Last updated
- Sep 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernadette Pivarunas
- Title
- Owner
- Phone
- (970) 236-6317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
90 Madison St Ste 700
Denver, CO 80206-5416
Mailing address
2001 S Shields St Ste 203
Fort Collins, CO 80526-1827
Phone (970) 236-6317
National Provider Directory
National Provider Directory- Tax ID family
- Radical Healing LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Fort Collins, CO
- NPI 1386282523
Locations
90 Madison St
Ste 700
Denver, CO 80206
Phone (303) 529-4535
2001 S Shields St
Ste 203
Fort Collins, CO 80526
Phone (970) 236-6317
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Psychologist
- Fort Collins, CO
- NPI 1316432842
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Junction, CO
- NPI 1720463953
-
- Mental Health Counselor
- Mancos, CO
- NPI 1396110714
-
- Clinical Social Worker
- Fort Collins, CO
- NPI 1699508911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1104653658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S SHIELDS ST STE 203",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261827",
"telephone_number": "970-236-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MADISON ST STE 700",
"city": "DENVER",
"state": "CO",
"postal_code": "802065416",
"telephone_number": "970-236-6317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADICAL HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "PIVARUNAS",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-236-6317"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.