Organization Active NPI

Radiant Bloom Therapyy

  • Adult Mental Health Clinic/Center
  • Madison, WI
National Provider Identifier
1356250302
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RADIANT BLOOM THERAPYY
Practice address
3001 W Beltline Hwy Ste 204
Madison, WI 53713-2832
Phone
(347) 395-6182
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Anastasia S Holland, LPC, LMHC
Title
LPC, LMHC
Phone
(347) 395-6182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3001 W Beltline Hwy Ste 204
Madison, WI 53713-2832

Mailing address

827 Blue Crane Run
Verona, WI 53593-9187
Phone (347) 395-6182

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1356250302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 BLUE CRANE RUN",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939187",
            "telephone_number": "347-395-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W BELTLINE HWY STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132832",
            "telephone_number": "347-395-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT BLOOM THERAPYY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LPC, LMHC",
        "authorized_official_telephone_number": "347-395-6182",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.