Organization Active NPI

Radiant Soul Inc

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1851050421
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RADIANT SOUL INC
Practice address
2151 California St Apt B
Concord, CA 94520-2683
Phone
(925) 325-4239
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Felecytie Rosen-Hanson, LMFT
Title
Director
Phone
(925) 325-4239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2151 California St Apt B
Concord, CA 94520-2683

Mailing address

3400 Cottage Way Ste G2
Sacramento, CA 95825-1474
Phone (925) 325-4239

Other practice location 1

50 Sand Creek Rd Ste 320
Brentwood, CA 94513-7304
Phone (925) 325-4239

National Provider Directory

National Provider Directory

Locations

50 Sand Creek Rd
Ste 320
Brentwood, CA 94513
Phone (510) 480-7671

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": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1851050421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 COTTAGE WAY STE G2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251474",
            "telephone_number": "925-325-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 CALIFORNIA ST APT B",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202683",
            "telephone_number": "925-325-4239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Sand Creek Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945137304",
            "country_code": "US",
            "telephone_number": "925-325-4239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIANT SOUL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "ROSEN-HANSON",
        "authorized_official_first_name": "FELECYTIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "925-325-4239",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.