Organization Active NPI

The Radical Advocate

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1477426872
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE RADICAL ADVOCATE
Practice address
2708 Grand Ave
Des Moines, IA 50312-5218
Phone
(515) 988-3620
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Malay Bouaphakeo, CPC, ELI-MP, LMHC
Title
Licensed Mental Health Counselor
Phone
(515) 988-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2708 Grand Ave
Des Moines, IA 50312-5218

Mailing address

2708 Grand Ave
Des Moines, IA 50312-5218
Phone (515) 988-3620

National Provider Directory

National Provider Directory
Tax ID family
The Radical Advocate2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1477426872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125218",
            "telephone_number": "515-988-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125218",
            "telephone_number": "515-988-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RADICAL ADVOCATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "BOUAPHAKEO",
        "authorized_official_first_name": "MALAY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "515-988-3620",
        "authorized_official_credential": "CPC, ELI-MP, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.