NPIMap

Organization Active NPI

Radical Changes Therapy LLC

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1134711187
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RADICAL CHANGES THERAPY LLC
Practice address
8322 Jefferson Hwy Ste a
Baton Rouge, LA 70809-1624
Phone
(985) 855-2534
NPI assigned
Feb 10, 2021
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Racheal E Hebert, LCSW-BACSNPI 1427582097
Title
Owner
Phone
(985) 855-2534

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)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

8322 Jefferson Hwy Ste a
Baton Rouge, LA 70809-1624

Mailing address

623 S Eugene St Apt 2
Baton Rouge, LA 70806-5471
Phone (985) 855-2434

National Provider Directory

National Provider Directory

Locations

8322 Jefferson Hwy
#A
Baton Rouge, LA 70809
Phone (985) 855-2534

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1134711187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S EUGENE ST APT 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065471",
            "telephone_number": "985-855-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 JEFFERSON HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091624",
            "telephone_number": "985-855-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL CHANGES THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "RACHEAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-855-2534",
        "authorized_official_credential": "LCSW-BACS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.