Organization Active NPI

Radical Love & Liberation Counseling PLLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1306683909
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RADICAL LOVE & LIBERATION COUNSELING PLLC
Practice address
4909 Waters Edge Dr Ste 101D
Raleigh, NC 27606-2462
Phone
(984) 334-2867
Fax
(919) 551-7541
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Mr. Kevin B. Eason, MA, LCMHCA (NC), NCCNPI 1518716729
Title
Co-Owner, Licensed Counselor
Phone
(984) 334-2867

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

4909 Waters Edge Dr Ste 101D
Raleigh, NC 27606-2462

Mailing address

7283 Veterans Pkwy Ste 102-182
Raleigh, NC 27603-7529
Phone (984) 334-2867

National Provider Directory

National Provider Directory

Locations

4909 Waters Edge Dr
Ste 101D
Raleigh, NC 27606
Phone (984) 334-2867

Practitioners & affiliated clinicians

Practitioners 2

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": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1306683909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 VETERANS PKWY STE 102-182",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276037529",
            "telephone_number": "984-334-2867",
            "fax_number": "919-551-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR STE 101D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062462",
            "telephone_number": "984-334-2867",
            "fax_number": "919-551-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL LOVE & LIBERATION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CO-OWNER, LICENSED COUNSELOR",
        "authorized_official_telephone_number": "984-334-2867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCMHCA (NC), NCC"
    },
    "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 Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.