Active NPI
Rise Therapeutic Services
- Clinical Social Worker
- Cedar Park, TX
National Provider Identifier
1427534270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58993
- Legal business name
- RISE THERAPEUTIC SERVICES
- Practice address
- 507 Denali Pass Ste 201
Cedar Park, TX 78613-7766 - Phone
- (512) 901-2982
- NPI assigned
- Jul 16, 2018
- 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
- Nicole Christine Johnson, LCSW
- Title
- Owner
- Phone
- (512) 910-2982
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 58993 | TX | Primary |
Addresses
Primary practice location
507 Denali Pass Ste 201
Cedar Park, TX 78613-7766
Mailing address
4208 Shire
Cedar Park, TX 78613-7830
Phone (773) 517-9114
Other practice location 1
1460 E Whitestone Blvd Ste 130
Cedar Park, TX 78613-2299
Phone (512) 910-2982
National Provider Directory
National Provider DirectoryLocations
1460 E Whitestone Blvd
Ste 130
Cedar Park, TX 78613
Phone (512) 910-2982
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cedar Park, TX
- NPI 1639581879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531699200000",
"number": "1427534270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 SHIRE",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137830",
"telephone_number": "773-517-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 DENALI PASS STE 201",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137766",
"telephone_number": "512-901-2982"
}
],
"practiceLocations": [
{
"address_1": "1460 E Whitestone Blvd Ste 130",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786132299",
"country_code": "US",
"telephone_number": "512-910-2982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RISE THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-910-2982",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.