Resilience Rising, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESILIENCE RISING, PLLC

Practice address

3411 W Diversey Ave Ofc 14
Chicago, IL 60647-1245

Phone

(224) 534-0331

NPI assigned

Dec 15, 2021

Last updated

Dec 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith J. Harris, LCSWNPI 1508367848

Title

Owner/Manager

Phone

(224) 534-0331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 6

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.

• Keith J. Harris, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1508367848
  NPD Authorized official
• Samuel S Brownson

  • Social Worker
  • Chicago, IL
  • NPI 1063229987
  NPD
• Erik Alexander Giles

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1891438925
  NPD
• Daniel Gaytan

  • Professional Counselor
  • Chicago, IL
  • NPI 1699157594
  NPD (past)
• Alberto Gonzalez

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1992435796
  NPD (past)
• Brittany Taylor, LSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1689424707
  NPD (past)

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1124787379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 N LECLAIRE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303817",
            "telephone_number": "224-534-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE OFC 14",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "224-534-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE RISING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "224-534-0331",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "149.018572",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resilience Healthcare - Weiss Memorial Hospital, LLC (Louis A Weiss Memorial Hospital)
• Resilience Healthcare - Weiss Memorial Hospital, LLC (Louis A. Weiss Memorial Hospital)
• Resilience Healthcare- Lakefront Medical Associates, LLC (Chicago Health Medical Group)
• Resilience Psychological Services, PC
• Resilience Psychotherapy and Wellness PLLC
• Resilient Creatures Counseling PLLC
• Resilient Living, LLC
• Resilient Mental Health & Wellness PLLC
• Resilient Minds Counseling PLLC
• Resilient Roots Therapy Group PLLC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.