Organization Active NPI

Wai-Iam, Inc.

Doing business as RISE Recovery Services

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1316430549
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096160 Issued in MI
Legal business name
WAI-IAM, INC.
Doing business as
RISE Recovery Services
Practice address
217 N Sycamore St
Lansing, MI 48933-1033
Phone
(517) 897-9001
Fax
(517) 580-7128
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WAI-IAM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Jacquelyn Liebner
Title
Executive Director
Phone
(517) 897-9001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801096160 MI Primary
Case Management Agency 251B00000X 6801096160 MI

Addresses

Primary practice location

217 N Sycamore St
Lansing, MI 48933-1033

Mailing address

217 N Sycamore St
Lansing, MI 48933-1033
Phone (517) 897-9001

Other names 1

  • RISE Recovery Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wai-Iam Inc2 organizations share this tax ID, including this one
Part of
Wai-Iam Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1316430549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N SYCAMORE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489331033",
            "telephone_number": "517-897-9001",
            "fax_number": "517-580-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N SYCAMORE ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489331033",
            "telephone_number": "517-897-9001",
            "fax_number": "517-580-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAI-IAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAI-IAM, INC.",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "LIEBNER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-897-9001"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096160",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801096160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISE Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.