RADICAL REALNESS THERAPY LLC
NPI 1639527393
Marriage & Family Therapist in Portland, OR

Active since June 02, 2016
510 SW 3RD AVE, SUITE 200, PORTLAND, OR 97204(971) 930-0089 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radical Realness Therapy Llc NPPES

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

RADICAL REALNESS THERAPY LLC (NPI 1639527393) is a healthcare organization registered as a marriage & family therapist in Portland, Oregon and active in the NPI registry since June 2016. The organization lists Laura Wrzesinski, Owner, as its authorized official.

NPPES Registry Identity

NPI1639527393
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameRADICAL REALNESS THERAPY LLC
Location Address510 SW 3RD AVE, SUITE 200Portland, OR 97204-2543
Mailing Address5131 N Lincoln Ave Ste 1Chicago, IL 60625-2584 · (971) 930-0089
Organization SubpartNo
Authorized OfficialLaura WrzesinskiOwner · (971) 930-0089
Enumeration DateJune 2, 2016
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
NPI 1639527393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in OR · T1159
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
510 SW 3RD AVE, Portland, OR 97204

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Community/Behavioral Health
510 SW 3RD AVE, SUITE 200
PORTLAND, OR 97204
Marriage & Family Therapist
510 SW 3RD AVE, STE 200
PORTLAND, OR 97204
Massage Therapist
510 SW 3RD AVE, SUITE 201
PORTLAND, OR 97204
Social Worker (Clinical)
510 SW 3RD AVE, 200
PORTLAND, OR 97204
Social Worker (Clinical)
510 SW 3RD AVE, STE 200
PORTLAND, OR 97204
Marriage & Family Therapist
510 SW 3RD AVE, SUITE 200
PORTLAND, OR 97204
Social Worker (Clinical)
510 SW 3RD AVE
PORTLAND, OR 97204

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 Radical Realness Therapy LLC's NPI number?

The NPI number for Radical Realness Therapy LLC is 1639527393. It was assigned to this organization in the NPPES registry on June 2, 2016.

Where is Radical Realness Therapy LLC located?

Radical Realness Therapy LLC is located at 510 SW 3rd Ave Suite 200, Portland, OR 97204. The listed phone number is (971) 930-0089.

What is Radical Realness Therapy LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Radical Realness Therapy LLC was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.