Radiant Therapy and Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RADIANT THERAPY AND WELLNESS LLC

Practice address

1011 Lake St Ste 210
Oak Park, IL 60301-1137

Phone

(708) 663-1214

NPI assigned

Jan 11, 2025

Last updated

Jan 11, 2025By 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

Jennifer Ann OhNPI 1679718704

Title

Co Owner

Phone

(708) 663-1214

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Jennifer Ann Oh, LCPC

  • Professional Counselor
  • Oak Park, IL
  • NPI 1679718704
  NPD Authorized official

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1972313922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 NEWCASTLE AVE",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601544453",
            "telephone_number": "708-663-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST STE 210",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011137",
            "telephone_number": "708-663-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "708-663-1214"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Gandhi MD S C
• R&R Global Chiropractic Clinic, P.C.
• Rad Gharavi MD PC
• Angelica Radek, FNP-C
• Claudia Radek
• Alexandra Radzin
• Lisa A Rae
• Amanda Louise Rage, MOT, OTR/L
• Kevin Peter Raihle, D.D.S.
• Mario Vincent Raines, MSW, LSW

• Professional Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.