The Radical Advocate

Primary specialty

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

Legal business name

THE RADICAL ADVOCATE

Practice address

2708 Grand Ave
Des Moines, IA 50312-5218

Phone

(515) 988-3620

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Malay Bouaphakeo

Title

Owner

Phone

(515) 988-3620

Specialties & licenses 1

Addresses

Tax ID family

The Radical Advocate2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Radical Advocate

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1477426872
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malaythong Bouaphakeo

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1740975309
  NPD

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1922979780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125218",
            "telephone_number": "515-988-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125218",
            "telephone_number": "515-988-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RADICAL ADVOCATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "BOUAPHAKEO",
        "authorized_official_first_name": "MALAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-988-3620"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Iowa Clinic
• The Iowa Clinic
• The Iowa Clinic, PC
• The Prairie Center, Inc
• The Radical Advocate
• The Rehabilitation Center of Des Moines, LLC
• The Rose of Des Moines, L.P.
• The Rose of East Des Moines, L.P.
• Erin Theede, LISW
• Kaitlyn Theis, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.