Active NPI
Arise Therapy and Life Coaching Center,LLC
- Community/Behavioral Health Agency
- Clinton, MD
National Provider Identifier
1427440882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 20070
- Legal business name
- ARISE THERAPY AND LIFE COACHING CENTER,LLC
- Practice address
- 9135 Piscataway Rd
410
Clinton, MD 20735-2549 - Phone
- (240) 455-3453
- NPI assigned
- Feb 23, 2015
- Last updated
- Feb 23, 2015
- 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
- Mrs. Kellie Jamison
- Title
- Clinical Social Worker
- Phone
- (240) 413-7003
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 20070 | MD | |
| Preferred Provider Organization | 305R00000X | 20070 | MD | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 20070 | MD | |
| Mental Health Counselor | 101YM0800X | 20070 | MD | |
| Community/Behavioral Health Agency | 251S00000X | 20070 | MD | Primary |
Addresses
Primary practice location
9135 Piscataway Rd
410
Clinton, MD 20735-2549
Mailing address
12105 Westlock PL
Laurel, MD 20708-2422
Phone (240) 988-2417
National Provider Directory
National Provider DirectoryLocations
5410 Indian Head Hwy
Ste 203
Oxon Hill, MD 20745
Phone (240) 606-3691
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.
-
- Mental Health Counselor
- Clinton, MD
- NPI 1710373576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424649600000",
"number": "1427440882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12105 WESTLOCK PL",
"city": "LAUREL",
"state": "MD",
"postal_code": "207082422",
"telephone_number": "240-988-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 PISCATAWAY RD",
"address_2": "410",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352549",
"telephone_number": "240-455-3453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISE THERAPY AND LIFE COACHING CENTER,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A",
"authorized_official_last_name": "JAMISON",
"authorized_official_first_name": "KELLIE",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "240-413-7003",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "MD",
"license": "20070",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "MD",
"license": "20070",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "MD",
"license": "20070",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "20070",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MD",
"license": "20070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.