Active NPI
High Rise Wellness Services
- Mental Health Counselor
- Huntersville, NC
National Provider Identifier
1366985764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HIGH RISE WELLNESS SERVICES
- Practice address
- 9206 Hollow Bend Dr
Huntersville, NC 28078-5095 - Phone
- (305) 364-5570
- NPI assigned
- Dec 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmen Lidia Bolivar, LMHC, MBA, NCC
- Title
- Ceo
- Phone
- (305) 707-8615
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
9206 Hollow Bend Dr
Huntersville, NC 28078-5095
Mailing address
8250 NW 27TH St
Suite #310
Doral, FL 33122-1904
Phone (305) 364-5570
National Provider Directory
National Provider DirectoryLocations
8250 NW 27th St
Ste 310
Doral, FL 33122
Phone (305) 482-3366
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Huntersville, NC
- NPI 1568942407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1366985764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 NW 27TH ST",
"address_2": "SUITE #310",
"city": "DORAL",
"state": "FL",
"postal_code": "331221904",
"telephone_number": "305-364-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9206 HOLLOW BEND DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785095",
"telephone_number": "305-364-5570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH RISE WELLNESS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-02",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "BOLIVAR",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "LIDIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-707-8615",
"authorized_official_credential": "LMHC, MBA, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.