Organization Active NPI

Arise Service LLC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1487534632
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ARISE SERVICE LLC
Practice address
4361 Bear Path TRL
Saint Paul, MN 55122-2218
Phone
(612) 234-1823
Fax
(612) 371-3843
NPI assigned
Sep 6, 2025
Last updated
Sep 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Authorized official

Name
Keo Sengsavang, LPCCNPI 1063965721
Title
Owner/Founder
Phone
(612) 234-2397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4361 Bear Path TRL
Saint Paul, MN 55122-2218

Mailing address

1960 Cliff Lake Rd Ste 129-124
Saint Paul, MN 55122-2476
Phone (612) 234-1823

National Provider Directory

National Provider Directory

Locations

1960 Cliff Lake Rd
Ste 129124
Saint Paul, MN 55122

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1487534632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 CLIFF LAKE RD STE 129-124",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551222476",
            "telephone_number": "612-234-1823",
            "fax_number": "612-371-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 BEAR PATH TRL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551222218",
            "telephone_number": "612-234-1823",
            "fax_number": "612-371-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "SENGSAVANG",
        "authorized_official_first_name": "KEO",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "612-234-2397",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.