Organization Active NPI

Radiantly Mindful Licensed Clinical Social Worker Inc.

Doing business as Radiantly Mindful Counseling Services

  • Clinical Social Worker
  • Monrovia, CA
National Provider Identifier
1275131658
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RADIANTLY MINDFUL LICENSED CLINICAL SOCIAL WORKER INC.
Doing business as
Radiantly Mindful Counseling Services
Practice address
50 W Lemon Ave Ste 4
Monrovia, CA 91016-5112
Phone
(310) 227-9649
NPI assigned
Oct 16, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Sheila Frando Alfaro, LCSWNPI 1033304845
Title
President/ Owner
Phone
(310) 227-9649

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

50 W Lemon Ave Ste 4
Monrovia, CA 91016-5112

Mailing address

50 W Lemon Ave Ste 4
Monrovia, CA 91016-5112
Phone (310) 227-9649

Other practice location 1

1130 E. Green Street
Pasadena, CA 91106
Phone (310) 227-9649

Other names 1

  • Radiantly Mindful Counseling Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sheila.lcsw@radiantlymindful.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250417003315 CA Part B Supplier - Clinic/Group Practice 6709301104 Receives reassigned benefits from 1 practitioner
Practice locations: Monrovia, CA

National Provider Directory

National Provider Directory

Locations

4000 W Burbank Blvd
Ste 219
Burbank, CA 91505

50 W Lemon Ave
Ste 4
Monrovia, CA 91016
Phone (310) 227-9649

1130 E Green St
Pasadena, CA 91106
Phone (310) 227-9649

Practitioners & affiliated clinicians

Practitioners 7

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": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1275131658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W LEMON AVE STE 4",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165112",
            "telephone_number": "310-227-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W LEMON AVE STE 4",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165112",
            "telephone_number": "310-227-9649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 E. Green Street",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91106",
            "country_code": "US",
            "telephone_number": "310-227-9649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIANTLY MINDFUL LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "FRANDO",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "310-227-9649",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sheila.lcsw@radiantlymindful.org",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 W Lemon Ave Ste 4",
            "city": "Monrovia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910165112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Radiantly Mindful Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.