Radical Nest LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RADICAL NEST LLC

Practice address

880 Liberty St NE Ste 109
Salem, OR 97301-2450

Phone

(971) 345-4119

Fax

(971) 345-4149

NPI assigned

Nov 23, 2020

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Harvey, LCSWNPI 1932529534

Title

Owner/Therapist

Phone

(971) 345-4119

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Harvey, LCSW

  • Clinical Social Worker
  • Salem, OR
  • NPI 1932529534
  NPD Authorized official
• Megan Jane Meyers

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1659829778
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1649874488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 LIBERTY ST NE STE 109",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "971-345-4119",
            "fax_number": "971-345-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 LIBERTY ST NE STE 109",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "971-345-4119",
            "fax_number": "971-345-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL NEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "971-345-4119",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michelle@mharveylcsw.com",
            "affiliation": "N",
            "address_1": "880 Liberty St NE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973012450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Della M Radke, QMHA
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• Fairoz Radtke, PA-C
• John Patrick Rafael, M.A., MFT,LPC INTERN
• Laurie Raffetto, MA LPC #C2732

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

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