Organization Active NPI

Up Therapy, LLC

  • Social Worker
  • Mandeville, LA
National Provider Identifier
1215698873
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
UP THERAPY, LLC
Practice address
1901 Highway 190 Apt 1422
Mandeville, LA 70448-3486
Phone
(150) 438-8194
NPI assigned
Jan 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Renee' Booker, LCSW, BACSNPI 1013411446
Title
Owner
Phone
(504) 388-1944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1901 Highway 190 Apt 1422
Mandeville, LA 70448-3486

Mailing address

1901 Highway 190 Apt 1422
Mandeville, LA 70448-3486
Phone (504) 388-1944

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, 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": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1215698873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 190 APT 1422",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483486",
            "telephone_number": "504-388-1944",
            "fax_number": "504-899-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 190 APT 1422",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483486",
            "telephone_number": "150-438-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "RENEE'",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-388-1944",
        "authorized_official_credential": "LCSW, BACS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.