Active NPI
Radiant Soul LLC
- Mental Health Counselor
- Pocatello, ID
National Provider Identifier
1992676274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RADIANT SOUL LLC
- Practice address
- 845 W Center St Ste L200
Pocatello, ID 83204-4205 - Phone
- (208) 943-8838
- NPI assigned
- Sep 17, 2025
- 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
- Jennifer Beckstead, LCPC
- Title
- Owner
- Phone
- (208) 943-8838
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
845 W Center St Ste L200
Pocatello, ID 83204-4205
Mailing address
845 W Center St Ste L200
Pocatello, ID 83204-4205
Phone (208) 943-8838
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1992676274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 W CENTER ST STE L200",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832044205",
"telephone_number": "208-943-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 W CENTER ST STE L200",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832044205",
"telephone_number": "208-943-8838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT SOUL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "BECKSTEAD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-943-8838",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.