Organization Active NPI

Radiant Life Counseling Group, LLC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1275226938
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RADIANT LIFE COUNSELING GROUP, LLC
Practice address
1820 The Exchange SE Ste 750
Atlanta, GA 30339-2088
Phone
(770) 769-2796
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Kelly Cave, MAMFT, LMFT, LPCNPI 1457702748
Title
Owner
Phone
(650) 450-0775

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1820 The Exchange SE Ste 750
Atlanta, GA 30339-2088

Mailing address

1820 The Exchange SE Ste 750
Atlanta, GA 30339-2088
Phone (770) 769-2796

National Provider Directory

National Provider Directory

Locations

1820 The Exchange SE
Ste 750
Atlanta, GA 30339
Phone (770) 568-7903

Practitioners & affiliated clinicians

Practitioners 3

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": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1275226938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 THE EXCHANGE SE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392088",
            "telephone_number": "770-769-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 THE EXCHANGE SE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392088",
            "telephone_number": "770-769-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LIFE COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "CAVE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-450-0775",
        "authorized_official_credential": "MAMFT, LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.