Organization Active NPI

Rise Therapy LLC

  • Professional Counselor
  • Greenwood, SC
National Provider Identifier
1073362257
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RISE THERAPY LLC
Practice address
1611 Woodlawn Rd
Greenwood, SC 29649-9419
Phone
(864) 214-5374
NPI assigned
May 18, 2024
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Christy Jordan-WilliamsNPI 1336730621
Title
LPC
Phone
(864) 507-9149

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1611 Woodlawn Rd
Greenwood, SC 29649-9419

Mailing address

PO Box 292
Greenwood, SC 29648
Phone (864) 507-9149

Other practice location 1

121 W Public Sq Ste B
Laurens, SC 29360-2972
Phone (864) 214-5374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203004539 SC Part B Supplier - Clinic/Group Practice 5597291302 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, SC

National Provider Directory

National Provider Directory

Locations

1611 Woodlawn Rd
Greenwood, SC 29649
Phone (864) 214-5374

204 Emerald Rd N
Ste B
Greenwood, SC 29646

121 W Public Sq
Ste B
Laurens, SC 29360
Phone (864) 214-5374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1073362257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29648",
            "telephone_number": "864-507-9149",
            "fax_number": "864-778-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WOODLAWN RD",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499419",
            "telephone_number": "864-214-5374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 W Public Sq Ste B",
            "address_purpose": "LOCATION",
            "city": "Laurens",
            "state": "SC",
            "postal_code": "293602972",
            "country_code": "US",
            "telephone_number": "864-214-5374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN-WILLIAMS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "864-507-9149"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.