Organization Active NPI

Rise Counseling Treasure Coast

  • Mental Health Counselor
  • Port Saint Lucie, FL
National Provider Identifier
1205617941
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Stephanie SammonsNPI 1114696804
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240229002492 FL Part B Supplier - Clinic/Group Practice 5890130892 Receives reassigned benefits from 2 practitioners
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.