Organization Active NPI

Risen Consultants LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1598268906
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISEN CONSULTANTS LLC
Practice address
12955 SW 132ND St Ste 205a
Miami, FL 33186-6224
Phone
(305) 220-3382
Fax
(305) 220-3383
NPI assigned
Mar 12, 2018
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Humberto Mena, BCBANPI 1548546369
Title
President
Phone
(786) 277-3168

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

12955 SW 132ND St Ste 205a
Miami, FL 33186-6224

Mailing address

12955 SW 132ND St Ste 205a
Miami, FL 33186-6224
Phone (305) 220-3382

Other identifiers 1

IdentifierTypeStateIssuer
022612800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1470 NW 107th Ave
Ste 19R
Sweetwater, FL 33172
Phone (305) 220-3382

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": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1598268906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 132ND ST STE 205A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866224",
            "telephone_number": "305-220-3382",
            "fax_number": "305-220-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 132ND ST STE 205A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866224",
            "telephone_number": "305-220-3382",
            "fax_number": "305-220-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISEN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-277-3168",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022612800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.