Organization Active NPI

River Rise Counseling and Psychological Services

  • Counseling Psychologist
  • Gainesville, FL
National Provider Identifier
1588312649
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
RIVER RISE COUNSELING AND PSYCHOLOGICAL SERVICES
Practice address
9200 NW 39TH Ave Ste 130-3185
Gainesville, FL 32606-7331
Phone
(352) 575-0055
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
JD Wright, PHD
Title
Owner
Phone
(352) 575-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

9200 NW 39TH Ave Ste 130-3185
Gainesville, FL 32606-7331

Mailing address

3517 NW 52ND Ave
Gainesville, FL 32605-1055
Phone (352) 870-4574

National Provider Directory

National Provider Directory

Locations

9200 NW 39th Ave
Ste 1303185
Gainesville, FL 32606
Phone (352) 575-0055

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": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1588312649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 NW 52ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051055",
            "telephone_number": "352-870-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 NW 39TH AVE STE 130-3185",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067331",
            "telephone_number": "352-575-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RISE COUNSELING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-575-0055",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.