Organization Active NPI

Rise Mind Therapy LLC

  • Social Worker
  • Margate, FL
National Provider Identifier
1265294102
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RISE MIND THERAPY LLC
Practice address
6279 Island Way
Margate, FL 33063-7064
Phone
(305) 990-1330
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Reyna Lynn Keller, LCSWNPI 1861868002
Title
Manager
Phone
(305) 680-6581

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
Social Worker 104100000X Primary

Addresses

Primary practice location

6279 Island Way
Margate, FL 33063-7064

Mailing address

7940 Front Beach Rd Ste 95267
Panama City Beach, FL 32407-4817
Phone (305) 680-6581

National Provider Directory

National Provider Directory

Locations

7940 Front Beach Rd
Ste 95267
Panama City Beach, FL 32407

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": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1265294102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FRONT BEACH RD STE 95267",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074817",
            "telephone_number": "305-680-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6279 ISLAND WAY",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637064",
            "telephone_number": "305-990-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "REYNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-680-6581",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.