Active NPI
Rediscover Your Radiance, PLLC
- Clinical Social Worker
- Batavia, IL
National Provider Identifier
1467276758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- REDISCOVER YOUR RADIANCE, PLLC
- Practice address
- 323 N College St
Batavia, IL 60510-2113 - Phone
- (630) 926-5987
- NPI assigned
- Nov 13, 2024
- 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
- Shannon D Prahl, LCSW
- Title
- Owner/Agent
- Phone
- (630) 926-5987
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Health & Wellness Coach | 171400000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
323 N College St
Batavia, IL 60510-2113
Mailing address
323 N College St
Batavia, IL 60510-2113
Phone (630) 926-5987
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.
-
- Clinical Social Worker
- St Charles, IL
- NPI 1093310286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1467276758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 N COLLEGE ST",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605102113",
"telephone_number": "630-926-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N COLLEGE ST",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605102113",
"telephone_number": "630-926-5987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDISCOVER YOUR RADIANCE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "PRAHL",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/AGENT",
"authorized_official_telephone_number": "630-926-5987",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.