Organization Active NPI

Radiant Souls Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1376492595
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RADIANT SOULS PSYCHIATRY PLLC
Practice address
6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378
Phone
(945) 342-4310
NPI assigned
Jan 22, 2026
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Sabina Onwonga, PMHNP-BCNPI 1447826797
Title
Ceo
Phone
(945) 342-4310

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378

Mailing address

6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378
Phone (945) 342-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260317002247 TX Part B Supplier - Clinic/Group Practice 9436632528 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX
O20260602000051 NM Part B Supplier - Clinic/Group Practice 9436632528 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

1438 Girard Blvd NE
Albuquerque, NM 87106
Phone (505) 308-8150

Practitioners & affiliated clinicians

Practitioners 1

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": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1376492595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MCCART AVE STE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336378",
            "telephone_number": "945-342-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCCART AVE STE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336378",
            "telephone_number": "945-342-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SOULS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "ONWONGA",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "945-342-4310",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.