Organization Active NPI

Rising Potential Counseling LCSW PLLC

  • Clinical Social Worker
  • Rome, NY
National Provider Identifier
1114590163
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISING POTENTIAL COUNSELING LCSW PLLC
Practice address
5649 Rome New London Rd
Rome, NY 13440-8336
Phone
(315) 520-0859
Fax
(315) 281-8213
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. Luis Daniel Ramirez, PH.D., DSW, LCSWNPI 1982255931
Title
Doctor / Ceo
Phone
(315) 520-0859

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5649 Rome New London Rd
Rome, NY 13440-8336

Mailing address

5649 Rome New London Rd
Rome, NY 13440-8336
Phone (315) 520-0859

Other names 1

  • Rising Potential Counseling LCSW PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211123001601 NY Part B Supplier - Clinic/Group Practice 3971992462 Receives reassigned benefits from 1 practitioner
Practice locations: Frankfort, NY

National Provider Directory

National Provider Directory

Locations

287 Genesee St
Ste 202
Utica, NY 13501
Phone (315) 520-0859

320 Herkimer Rd
Utica, NY 13502
Phone (315) 520-0859

Practitioners & affiliated clinicians

Practitioners 8

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": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1114590163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 ROME NEW LONDON RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134408336",
            "telephone_number": "315-520-0859",
            "fax_number": "315-281-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 ROME NEW LONDON RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134408336",
            "telephone_number": "315-520-0859",
            "fax_number": "315-281-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING POTENTIAL COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR / CEO",
        "authorized_official_telephone_number": "315-520-0859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Potential Counseling LCSW PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.