NPIMap

Organization Active NPI

Radiate Hope Licensed Professional Clinical Counselor, PC

  • Professional Counselor
  • Los Angeles, CA
National Provider Identifier
1639994361
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RADIATE HOPE LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Doing business as
Radiate Hope Therapy
Practice address
12600 Braddock Dr Apt 118
Los Angeles, CA 90066-6740
Phone
(909) 501-4688
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Emmanuel Garcia, LPCCNPI 1124790118
Title
President
Phone
(909) 501-4688

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12600 Braddock Dr Apt 118
Los Angeles, CA 90066-6740

Mailing address

12600 Braddock Dr Apt 118
Los Angeles, CA 90066-6740
Phone (909) 501-4688

Other names 1

  • Radiate Hope Therapy 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": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1639994361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 BRADDOCK DR APT 118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666740",
            "telephone_number": "909-501-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 BRADDOCK DR APT 118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666740",
            "telephone_number": "909-501-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATE HOPE LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-501-4688",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiate Hope Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

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