Radically Genuine Therapy Services L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RADICALLY GENUINE THERAPY SERVICES L.L.C.

Practice address

13132 North Rd
Fenton, MI 48430-1085

Phone

(810) 666-0492

NPI assigned

Jan 23, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Logan Michael McIntosh, MSW, LCSWNPI 1982113619

Title

Co-Owner / Therapist

Phone

(810) 666-0492

Specialties & licenses 1

Addresses

Practitioners 1

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

• Logan Michael McIntosh, LCSW

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1982113619
  NPD Authorized official

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1306795232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484300024",
            "telephone_number": "810-666-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 NORTH RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301085",
            "telephone_number": "810-666-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICALLY GENUINE THERAPY SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER / THERAPIST",
        "authorized_official_telephone_number": "810-666-0492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Medicine, PC
• Priority Anesthesia Staffing
• Chandra K Puttagunta, MD
• Rachor Dental Care
• James Michael Rachor, DDS
• Rachael Rayburn
• Stephanie Reed, PT
• James Charles Reeves, O.D.
• Cheryl L Reger
• Jennifer Reid

• Clinical Social Worker in Fenton, MI
• Providers in Fenton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.