Organization Active NPI

Rise Healing Center a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1558093039
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISE HEALING CENTER A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
5290 Overpass Rd Ste 220
Santa Barbara, CA 93111-2051
Phone
(805) 221-8516
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Elisabeth PollackNPI 1851938179
Title
Ceo
Phone
(805) 221-8516

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 MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5290 Overpass Rd Ste 220
Santa Barbara, CA 93111-2051

Mailing address

1239 Richelle LN Unit J
Santa Barbara, CA 93105-4648

Other practice location 1

92 San Fermo Dr
Goleta, CA 93117-1915
Phone (805) 221-8516

Other names 1

  • Rise Healing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241220002257 CA Part B Supplier - Clinic/Group Practice 4880121425 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

5290 Overpass Rd
Ste 220
Santa Barbara, CA 93111
Phone (213) 444-1521

Practitioners & affiliated clinicians

Practitioners 3

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": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1558093039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 RICHELLE LN UNIT J",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 OVERPASS RD STE 220",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112051",
            "telephone_number": "805-221-8516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 San Fermo Dr",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "931171915",
            "country_code": "US",
            "telephone_number": "805-221-8516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE HEALING CENTER A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-221-8516"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rise Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.