Organization Active NPI

Rise Therapeutic Services

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1427534270
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58993 Issued in TX
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

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Nicole Christine Johnson, LCSWNPI 1639581879
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.