Organization Active NPI

Arise Wellness, PLLC

  • Marriage & Family Therapist
  • Jacksonville, FL
National Provider Identifier
1023614161
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ARISE WELLNESS, PLLC
Practice address
7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118
Phone
(904) 452-5027
Fax
(904) 253-3492
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Kormasah Curtis, LMFTNPI 1255868832
Title
Ceo, Founder
Phone
(904) 802-2571

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118

Mailing address

7643 Gate Pkwy Ste 104-1197
Jacksonville, FL 32256-2893
Phone (904) 802-2571

Other practice location 1

7701 Timberlin Park Blvd Apt 522
Jacksonville, FL 32256-5443
Phone (904) 802-2571

Other practice location 2

7643 Gate Pkwy Ste 104-1197
Jacksonville, FL 32256-2893
Phone (904) 802-2571

National Provider Directory

National Provider Directory

Locations

7643 Gate Pkwy
Ste 1041197
Jacksonville, FL 32256
Phone (904) 802-2571

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": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1023614161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-1197",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562893",
            "telephone_number": "904-802-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564118",
            "telephone_number": "904-452-5027",
            "fax_number": "904-253-3492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 Timberlin Park Blvd Apt 522",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565443",
            "country_code": "US",
            "telephone_number": "904-802-2571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7643 Gate Pkwy Ste 104-1197",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322562893",
            "country_code": "US",
            "telephone_number": "904-802-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARISE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "KORMASAH",
        "authorized_official_title_or_position": "CEO, FOUNDER",
        "authorized_official_telephone_number": "904-802-2571",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.