Organization Active NPI

Radical Curiosity Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
National Provider Identifier
1396649315
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RADICAL CURIOSITY THERAPY LLC
Practice address
12305 Conejo Rd NE
Albuquerque, NM 87123-1517
Phone
(701) 215-8803
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mimir Jottun Everett, LCSW
Title
Outpatient Therapist, Proprietor
Phone
(701) 215-8803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

12305 Conejo Rd NE
Albuquerque, NM 87123-1517

Mailing address

12305 Conejo Rd NE
Albuquerque, NM 87123-1517
Phone (701) 215-8803

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1396649315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 CONEJO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231517",
            "telephone_number": "701-215-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 CONEJO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231517",
            "telephone_number": "701-215-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL CURIOSITY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "MIMIR",
        "authorized_official_middle_name": "JOTTUN",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST, PROPRIETOR",
        "authorized_official_telephone_number": "701-215-8803",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.