NPIMap

Organization Active NPI

Aquarius Rising, LLC

  • Community/Behavioral Health Agency
  • Lindenwold, NJ
National Provider Identifier
1235893660
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AQUARIUS RISING, LLC
Practice address
230 Countiss Ave
Lindenwold, NJ 08021-2509
Phone
(856) 553-5076
NPI assigned
Oct 22, 2021
Last updated
Oct 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Rosemarie Nicole Patrizio, LCSWNPI 1073978912
Title
Therapist
Phone
(856) 553-5076

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

230 Countiss Ave
Lindenwold, NJ 08021-2509

Mailing address

230 Countiss Ave
Lindenwold, NJ 08021-2509
Phone (856) 889-5243

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lindenwold

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": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1235893660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COUNTISS AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212509",
            "telephone_number": "856-889-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 COUNTISS AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212509",
            "telephone_number": "856-553-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUARIUS RISING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "PATRIZIO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "856-553-5076",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lindenwold",
            "affiliation": "N",
            "address_1": "230 Countiss Ave",
            "city": "Lindenwold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080212509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lindenwold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.