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RADIANT HEALTH SERVICES
NPI 1407848500
Community/Behavioral Health in Marion, IN

Active since August 16, 2005CLIA 15D0647564 · Waiver
505 N WABASH AVE, MARION, IN 46952(765) 662-3971(765) 662-7480 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Apr 13, 2023, Dec 2, 2021 (3 updates tracked since 2021).

About Radiant Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIANT HEALTH SERVICES (NPI 1407848500) is a healthcare organization registered as a community/behavioral health in Marion, Indiana and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lisa A. Dominisse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407848500
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGRANT-BLACKFORD MENTAL HEALTH, INC.
Location Address505 N WABASH AVEMarion, IN 46952-2608
Mailing Address505 N Wabash AveMarion, IN 46952-2608 · (765) 662-3971 · Fax (765) 662-7480
Phone(765) 662-3971
Fax(765) 662-7480
Organization SubpartNo
Authorized OfficialLisa A. DominisseCeo · (765) 668-6713
Enumeration DateAugust 16, 2005
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1407848500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 414 (IN)
505 N WABASH AVE, Marion, IN 46952
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Other Names 1

Doing Business AsRadiant Health Services

Other Identifiers 1

Medicaid100123170AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0647564

Grant Blackford Mental Health, Inc Dba Radiant Health Services · Marion, IN
Active · expires Aug 31, 2026
CLIA Number15D0647564
Laboratory TypeMental Health Hospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael H. Conn
Laboratory Phone(765) 662-3971
Laboratory LocationGrant Blackford Mental Health, Inc Dba Radiant Health Services505 N Wabash Ave, Marion, IN 46952
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER K QUEEN-RUSSELL LCSW
Social Worker (Clinical)
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971
SHERI PROFFITT LCSW
Social Worker (Clinical)
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971
SARAH ALBERT LCSW
Social Worker (Clinical)
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971
CORNERSTONE
Community/Behavioral Health
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971
JERRY HAVENS LCSW
Counselor (Mental Health)
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971
KELVIN TWIGG LMHC
Counselor (Mental Health)
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971
MICHELINA BURROWS LCSW
Social Worker (Clinical)
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971
TONYA J SCALF LCSW
Social Worker (Clinical)
505 N WABASH AVE
MARION, IN 46952
Grant County (765) 662-3971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant-Blackford Mental Health, Inc.'s NPI number?

The NPI number for Grant-Blackford Mental Health, Inc. is 1407848500. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as Radiant Health Services.

Where is Grant-Blackford Mental Health, Inc. located?

Grant-Blackford Mental Health, Inc. is located at 505 N Wabash Ave, Marion, IN 46952. The listed phone number is (765) 662-3971.

What is Grant-Blackford Mental Health, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Grant-Blackford Mental Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0647564) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grant-Blackford Mental Health, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Grant-Blackford Mental Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grant-Blackford Mental Health, Inc. was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.