Organization Active NPI

Rise Up Recover, LLC

  • Counselor
  • Goodyear, AZ
National Provider Identifier
1245969880
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
RISE UP RECOVER, LLC
Practice address
15655 W Roosevelt St Ste 223
Goodyear, AZ 85338-9306
Phone
(602) 698-8990
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Ria Flanagan, MA MFT, LISAC. CSATNPI 1912317199
Title
Owner
Phone
(602) 698-8990

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

15655 W Roosevelt St Ste 223
Goodyear, AZ 85338-9306

Mailing address

15655 W Roosevelt St Ste 223
Goodyear, AZ 85338-9306
Phone (602) 698-8990

Other identifiers 2

IdentifierTypeStateIssuer
1912317199OtherAZNPI
1245969880OtherAZORGANIZATION NPI

Other names 1

  • Rise Up Recover Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.theranest.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

15655 W Roosevelt St
Ste 223
Goodyear, AZ 85338
Phone (602) 698-8990

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": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1245969880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT ST STE 223",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389306",
            "telephone_number": "602-698-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT ST STE 223",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389306",
            "telephone_number": "602-698-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP RECOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "RIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-698-8990",
        "authorized_official_credential": "MA MFT, LISAC. CSAT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912317199",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1245969880",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theranest.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15655 W Roosevelt St Ste 223",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853389306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rise Up Recover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rise Up Recover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.