Organization Active NPI

Rise Counseling & Wellness Group LLC

  • Professional Counselor
  • Hagerstown, MD
National Provider Identifier
1215505136
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RISE COUNSELING & WELLNESS GROUP LLC
Practice address
1140 Professional CT
Hagerstown, MD 21740-5852
Phone
(013) 778-5900
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Jessica O'Neil, LCPC NCCNPI 1346703014
Title
Owner
Phone
(301) 778-5900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1140 Professional CT
Hagerstown, MD 21740-5852

Mailing address

1140 Professional CT
Hagerstown, MD 21740-5852
Phone (301) 778-5900

Other practice location 1

217 Monument Dr
Boonsboro, MD 21713-3407
Phone (240) 427-8053

Other identifiers 1

IdentifierTypeStateIssuer
999746600MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.risecounselingllc.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1215505136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405852",
            "telephone_number": "301-778-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405852",
            "telephone_number": "013-778-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Monument Dr",
            "address_purpose": "LOCATION",
            "city": "Boonsboro",
            "state": "MD",
            "postal_code": "217133407",
            "country_code": "US",
            "telephone_number": "240-427-8053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE COUNSELING & WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-778-5900",
        "authorized_official_credential": "LCPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999746600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.risecounselingllc.com",
            "affiliation": "N",
            "address_1": "1140 Professional Ct",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217405852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.