Rise Up Mental Health, LLC.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RISE UP MENTAL HEALTH, LLC.

Doing business as

Rise Up Mental Health

Practice address

9700 SW Capitol Hwy Ste 105
Portland, OR 97219-5274

Phone

(619) 733-9698

NPI assigned

Jun 1, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Leigh Peats, PMHNPNPI 1336716372

Title

Coo, Provider

Phone

(619) 733-9698

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Rise Up Mental Health Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Leigh Peats, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1336716372
  Medicare reassignment NPD Authorized official
• Katie Lynn Loudon

  • Peer Specialist
  • Portland, OR
  • NPI 1992643795
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1225777907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 SW CAPITOL HWY STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195274",
            "telephone_number": "619-733-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 SW CAPITOL HWY STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195274",
            "telephone_number": "619-733-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP MENTAL HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "PEATS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "COO, PROVIDER",
        "authorized_official_telephone_number": "619-733-9698",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336716372",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@riseupmh.com",
            "affiliation": "N",
            "endpointDescription": "Secured business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9700 SW Capitol Hwy Ste 105",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972195274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rise Up Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricio A. Riquelme, M.D., PH.D.
• Donald Watson Ririe, D.D.S.
• Donald Gary Rischitelli, MD
• Rise Home Recover
• Rise to Wellness LLC
• Stacy Lynn Riser, LPC MA CADC QMHP
• Rising Moon Therapy Center LLC
• John E Rising, MD
• Stewart Risinger
• Katie Marie Riskey, DPT

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.