Active NPI
Radical Heart Therapy and Coaching LLC
- Clinical Social Worker
- El Prado, NM
National Provider Identifier
1417767211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RADICAL HEART THERAPY AND COACHING LLC
- Practice address
- 42 Night Hawk TRL
El Prado, NM 87529-4502 - Phone
- (505) 670-3464
- NPI assigned
- Jan 13, 2025
- Last updated
- Jan 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eloisa Ramos, LCSW
- Title
- Owner
- Phone
- (505) 670-3464
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
42 Night Hawk TRL
El Prado, NM 87529-4502
Mailing address
PO Box 1054
Taos, NM 87571-1054
Phone (505) 670-3464
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Taos, NM
- NPI 1598092207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1417767211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1054",
"city": "TAOS",
"state": "NM",
"postal_code": "875711054",
"telephone_number": "505-670-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 NIGHT HAWK TRL",
"city": "EL PRADO",
"state": "NM",
"postal_code": "875294502",
"telephone_number": "505-670-3464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADICAL HEART THERAPY AND COACHING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "ELOISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-670-3464",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Prado, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.