Rise Family Therapy Center LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

RISE FAMILY THERAPY CENTER LLC

Practice address

595 Ashley CT Ste 1
North Liberty, IA 52317-4758

Phone

(319) 626-2244

Fax

(319) 409-9265

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Bethany GuglianoNPI 1821534728

Title

Owner/Therapist

Phone

(319) 286-4545

Specialties & licenses 1

Addresses

Practitioners 2

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

• Bethany Gugliano, LISW

  • Clinical Social Worker
  • North Liberty, IA
  • NPI 1821534728
  NPD Authorized official
• Anneka Eleanor Baart

  • Social Worker
  • North Liberty, IA
  • NPI 1871417568
  NPD (past)

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1275309072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-626-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-626-2244",
            "fax_number": "319-409-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE FAMILY THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "GUGLIANO",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "319-286-4545"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Teresa Raner, PHARMD
• Dawn M. Rechkemmer
• David E Reese, III, P.T.
• Allie Nicole Rieken, LMHC
• Leslie A Riley, MD
• Ana M Rivera, PHARMD
• Jeni Roadcap
• Amanda Robertson
• Rachel Nicole Robertson, LISW
• Michael Scott Rocca, M.D.

• Adolescent and Children Mental Health Clinic/Center in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Adolescent and Children Mental Health Clinic/Center in Iowa

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