Radiant Minds Therapy & Wellness, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

RADIANT MINDS THERAPY & WELLNESS, LLC

Practice address

7901 4TH St N Ste 312
Saint Petersburg, FL 33702-4313

Phone

(561) 201-7629

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Gilbert, LCSWNPI 1861011017

Title

Owner

Phone

(561) 201-7629

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jessica Gilbert, LCSW

  • Clinical Social Worker
  • Saint Petersburg, FL
  • NPI 1861011017
  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1548029119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 312",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024313",
            "telephone_number": "561-201-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 312",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024313",
            "telephone_number": "561-201-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT MINDS THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-201-7629",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R&C Automotive and Transportation
• Michelle M Rabinovitz, PTA
• Rachael Haskell PHD Resolution Today
• Sandra Marie Racine, ARNP
• John David Radford
• Radiant Wellness Center LLC
• Radiation Oncology of West Florida
• Samantha C Radigan, PA-C
• Radiology Associates of Pinellas, LLC.
• Radiology Associates of St. Petersburg PA

• Adolescent and Children Mental Health Clinic/Center in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.