Rise Therapeutic Services, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

RISE THERAPEUTIC SERVICES, LLC

Practice address

5400 Charles Page Blvd
Tulsa, OK 74127-7548

Phone

(918) 901-7512

Fax

(918) 900-0304

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Gary Roberts Jr., LPCNPI 1861740250

Title

Owner

Phone

(918) 901-7512

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Roberts Jr.

  • Counselor
  • Tulsa, OK
  • NPI 1861740250
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1497474423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CHARLES PAGE BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741277548",
            "telephone_number": "918-901-7512",
            "fax_number": "918-900-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CHARLES PAGE BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741277548",
            "telephone_number": "918-901-7512",
            "fax_number": "918-900-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-901-7512",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "LPC06532",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley L Riouse, RN
• Randall Keith Ripkowski
• Audrey Genyse Ripley
• Alycia Ripperger
• Rise Chiropractic
• Amber Risley
• Ronald Dale Risner, DDS
• Heidi Giselle Ritchey, CNS
• Justen Alexander Ritchey
• Marie Elizabeth Ritchie - Nicholas, LCSW

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.