Organization Active NPI

Rise Therapy Chicago LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1346007788
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISE THERAPY CHICAGO LLC
Practice address
440 N Wabash Ave Apt 2204
Chicago, IL 60611-7639
Phone
(224) 330-8952
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Maxwell Parrella, LCSWNPI 1720797830
Title
Owner
Phone
(224) 330-8952

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

440 N Wabash Ave Apt 2204
Chicago, IL 60611-7639

Mailing address

440 N Wabash Ave Apt 2204
Chicago, IL 60611-7639
Phone (224) 330-8952

Other practice location 1

801 Skokie Blvd Ste 103
Northbrook, IL 60062-4026
Phone (224) 330-8952

National Provider Directory

National Provider Directory

Locations

801 Skokie Blvd
Ste 103
Northbrook, IL 60062
Phone (224) 330-8952

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": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1346007788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N WABASH AVE APT 2204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117639",
            "telephone_number": "224-330-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N WABASH AVE APT 2204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117639",
            "telephone_number": "224-330-8952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Skokie Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624026",
            "country_code": "US",
            "telephone_number": "224-330-8952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE THERAPY CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "PARRELLA",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-330-8952",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.