Radiant Counseling Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401013058 Issued in MI

Legal business name

RADIANT COUNSELING SERVICES, PLLC

Practice address

15869 Spur Dr
Macomb, MI 48042-2214

Phone

(586) 354-3127

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jeneve Blevins, M.A. L.P.C.

Title

Psychotherapist

Phone

(586) 354-3127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1669823894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15869 SPUR DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422214",
            "telephone_number": "586-354-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15869 SPUR DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422214",
            "telephone_number": "586-354-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "JENEVE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "586-354-3127",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401013058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.