Organization Active NPI

Rising Up, LLC

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
National Provider Identifier
1225372832
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15109 Issued in MN
Legal business name
RISING UP, LLC
Practice address
3315 Roosevelt Rd Ste 200a
Saint Cloud, MN 56301-6269
Phone
(320) 229-4069
Fax
(320) 229-4071
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Cindy A.T. Happe, LICSWNPI 1720037575
Title
Owner/Therapist
Phone
(320) 267-8704

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
Community/Behavioral Health Agency 251S00000X 15109 MN Primary

Addresses

Primary practice location

3315 Roosevelt Rd Ste 200a
Saint Cloud, MN 56301-6269

Mailing address

3315 Roosevelt Rd Ste 200a
Saint Cloud, MN 56301-6269
Phone (320) 229-4069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130222000322 MN Part B Supplier - Clinic/Group Practice 6406001486 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Locations

3315 Roosevelt Rd
Ste 200A
Saint Cloud, MN 56301
Phone (320) 229-4069

Practitioners & affiliated clinicians

Practitioners 7

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": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1225372832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 ROOSEVELT RD STE 200A",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016269",
            "telephone_number": "320-229-4069",
            "fax_number": "320-229-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 ROOSEVELT RD STE 200A",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016269",
            "telephone_number": "320-229-4069",
            "fax_number": "320-229-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING UP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "HAPPE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A.T.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "320-267-8704",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.