R.I.S.E Family Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

R.I.S.E FAMILY SERVICES LLC

Doing business as

RISE Family Services

Practice address

9811 Mallard Dr Ste 203
Laurel, MD 20708-3199

Phone

(240) 817-8411

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Miss Shonnell Ham, LMSW

Title

Founder/ Ceo

Phone

(240) 817-8411

Specialties & licenses 1

Addresses

Other names 1

• RISE Family Services Doing business as

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1124648456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 AVEBURY DR APT 12",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083439"
        },
        {
            "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": "240-817-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.I.S.E FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "SHONNELL",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "240-817-8411",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISE Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RISE Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Laurel, MD
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• 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.