Organization Active NPI

Radiant Dawn Therapy

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1154100162
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RADIANT DAWN THERAPY
Practice address
777 S Wadsworth Blvd Ste 202
Lakewood, CO 80226-4300
Phone
(720) 830-5212
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Christina DevoreNPI 1821712266
Title
Mental Health Therapist
Phone
(720) 830-5212

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

777 S Wadsworth Blvd Ste 202
Lakewood, CO 80226-4300

Mailing address

6921 W Louisiana Ave Apt 3a
Lakewood, CO 80232-5594
Phone (720) 830-5212

National Provider Directory

National Provider Directory

Locations

777 S Wadsworth Blvd
Ste 202
Lakewood, CO 80226
Phone (510) 543-3158

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1154100162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 W LOUISIANA AVE APT 3A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325594",
            "telephone_number": "720-830-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WADSWORTH BLVD STE 202",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264300",
            "telephone_number": "720-830-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT DAWN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "720-830-5212"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.