RADIANT PATH MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
NPI 1770438822
Counselor - Mental Health in Redlands, CA

Active since March 03, 2026
308 W STATE ST STE 3D, REDLANDS, CA 92373(909) 577-1124 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Radiant Path Marriage And Family Therapy, A Professional Corporation NPPES

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

RADIANT PATH MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION (NPI 1770438822) is a healthcare organization registered as a mental health in Redlands, California and active in the NPI registry since March 2026. The organization lists Landon Ehteshamzadeh, Vice President, as its authorized official.

NPPES Registry Identity

NPI1770438822
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRADIANT PATH MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
Location Address308 W STATE ST STE 3DRedlands, CA 92373-4653
Mailing Address308 W State St Ste 3dRedlands, CA 92373-4653 · (909) 577-1124
Organization SubpartNo
Authorized OfficialLandon EhteshamzadehVice President · (951) 205-2949
Enumeration DateMarch 3, 2026
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1770438822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
308 W STATE ST STE 3D, Redlands, CA 92373

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radiant Path Marriage And Family Therapy, A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Radiant Path Marriage And Family Therapy, A Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Psychiatry
NPI 1487914404
308 W STATE ST STE 3D
Redlands, CA 92373
(347) 709-4170
✔ PECOSSame address
Nurse Practitioner
NPI 1265193080
765 N MAIN ST STE 127
Corona, CA 92878
(951) 216-3549
✔ PECOS25 mi
Nurse Practitioner
NPI 1366309874
191 S BUENA VISTA ST STE 300
Burbank, CA 91505
(925) 282-1778
✔ PECOS66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Radiant Path Marriage And Family Therapy, A Professional Corporation's NPI number?

The NPI number for Radiant Path Marriage And Family Therapy, A Professional Corporation is 1770438822. It was assigned to this organization in the NPPES registry on March 3, 2026.

Where is Radiant Path Marriage And Family Therapy, A Professional Corporation located?

Radiant Path Marriage And Family Therapy, A Professional Corporation is located at 308 W State St Ste 3D, Redlands, CA 92373. The listed phone number is (909) 577-1124.

What is Radiant Path Marriage And Family Therapy, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Radiant Path Marriage And Family Therapy, A Professional Corporation enrolled in Medicare?

Yes. Radiant Path Marriage And Family Therapy, A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiant Path Marriage And Family Therapy, A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Radiant Path Marriage And Family Therapy, A Professional Corporation, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Radiant Path Marriage And Family Therapy, A Professional Corporation was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.