Rising Moon Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RISING MOON THERAPY SERVICES LLC

Practice address

40 N Swan Rd Ste 114
Tucson, AZ 85711-3019

Phone

(520) 528-6534

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Jenna Teso

Title

Managing Member

Phone

(520) 999-5667

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1548031925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N SWAN RD STE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113019",
            "telephone_number": "520-528-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N SWAN RD STE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113019",
            "telephone_number": "520-528-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING MOON THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "TESO",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "520-999-5667"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Up Arizona Recovery and Counseling Services PLLC
• Rise Up Counseling LLC
• Rise, Incorporated
• Rising Medical LLC
• Rising Moon Therapeutic Services LLC
• Kindle Rising, M.S., CCC-SLP
• Monica V Risley, LCSW
• Kelly Ann Risner, EDS
• Ellen Louise Ristow, LCSW
• Mary Risvold, M.D.

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.