Active NPI
Radiant Life Clinical & Wellness, LLC
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1871446682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RADIANT LIFE CLINICAL & WELLNESS, LLC
- Practice address
- 2828 Huntingdon Ave
Baltimore, MD 21211-2921 - Phone
- (202) 977-1435
- NPI assigned
- Feb 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kairis Bonella, LCADC
- Title
- Managing Member
- Phone
- (202) 977-1435
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2828 Huntingdon Ave
Baltimore, MD 21211-2921
Mailing address
2828 Huntingdon Ave
Baltimore, MD 21211-2921
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
- NPI 1417127960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1871446682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 HUNTINGDON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 HUNTINGDON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112921",
"telephone_number": "202-977-1435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT LIFE CLINICAL & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-19",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "BONELLA",
"authorized_official_first_name": "KAIRIS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "202-977-1435",
"authorized_official_credential": "LCADC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Nicholas J Rademacher
- Dana Greene Rader, DNP, CNM, FNP-BC
- Arash Radfar, M.D.
- Haripriya Radhakrishnan, M.B.B.S.
- Radiant Hope Counseling LLC
- Radiant Wellness LLC
- Radiation Oncology Affiliates of Maryland
- Radiation Oncology Services of Northwest Baltimore, LLC
- Radical Liberation Counseling, LLC
- Amy Lorraine Radion, LCSWC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.