NPIMap

Organization Active NPI

R.I.S.E Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
National Provider Identifier
1003552498
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
R.I.S.E FAMILY SERVICES LLC
Practice address
9811 Mallard Dr Ste 203
Laurel, MD 20708-3199
Phone
(301) 778-8835
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shonnell Ham, LCSW-C
Title
Owner
Phone
(301) 778-8835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9811 Mallard Dr Ste 203
Laurel, MD 20708-3199

Mailing address

9811 Mallard Dr Ste 203
Laurel, MD 20708-3199
Phone (301) 778-8835

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rise-family.org

National Provider Directory

National Provider Directory
Tax ID family
Rise Family Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1003552498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-778-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-778-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.I.S.E FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "SHONNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-778-8835",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rise-family.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "9811 Mallard Dr Ste 203",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207083199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.