Organization Active NPI

Lucid Flame LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1538972781
Registry record updated Jan 30, 2025
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
LUCID FLAME LLC
Practice address
4422 N Ravenswood Ave # 1005
Chicago, IL 60640-5803
Phone
(419) 944-1847
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Alexi RadfordNPI 1326536111
Title
Owner
Phone
(419) 944-1847

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4422 N Ravenswood Ave # 1005
Chicago, IL 60640-5803

Mailing address

1637 W Winona St Apt 1
Chicago, IL 60640-0891
Phone (419) 944-1847

Other names 1

  • Lucid Flame Body & Mind Doing business as

National Provider Directory

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": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1538972781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 W WINONA ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400891",
            "telephone_number": "419-944-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 N RAVENSWOOD AVE # 1005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405803",
            "telephone_number": "419-944-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID FLAME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-944-1847"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucid Flame Body & Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.