Organization Active NPI

High Rise Wellness Services

  • Mental Health Counselor
  • Huntersville, NC
National Provider Identifier
1366985764
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Carmen Lidia Bolivar, LMHC, MBA, NCCNPI 1568942407
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.