Active NPI
Rise Counseling Treasure Coast
- Mental Health Counselor
- Port Saint Lucie, FL
National Provider Identifier
1205617941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RISE COUNSELING TREASURE COAST
- Practice address
- 1680 SE Lyngate Dr Ste 204
Port Saint Lucie, FL 34952-4300 - Phone
- (772) 226-0383
- NPI assigned
- Oct 9, 2023
- Last updated
- Jan 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Sammons
- Title
- Owner
- Phone
- (772) 226-0383
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1680 SE Lyngate Dr Ste 204
Port Saint Lucie, FL 34952-4300
Mailing address
1680 SE Lyngate Dr Ste 204
Port Saint Lucie, FL 34952-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6666 S US Highway 1
Ste 1
Port Saint Lucie, FL 34952
Phone (772) 226-0383
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Counselor
- Port St Lucie, FL
- NPI 1114696804
-
- Mental Health Counselor
- West Palm Beach, FL
- NPI 1730781709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1205617941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 SE LYNGATE DR STE 204",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349524300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 SE LYNGATE DR STE 204",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349524300",
"telephone_number": "772-226-0383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE COUNSELING TREASURE COAST",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-09",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "SAMMONS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-226-0383"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.