Organization Active NPI

Rize Counseling, Inc.

  • Marriage & Family Therapist
  • Fountain Valley, CA
National Provider Identifier
1609400837
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RIZE COUNSELING, INC.
Practice address
17195 Newhope St Ste 205
Fountain Valley, CA 92708-4211
Phone
(949) 416-5533
NPI assigned
Feb 26, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Jeffrey Edward Wilson
Title
Managing Director
Phone
(562) 301-9176

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Social Worker 104100000X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

17195 Newhope St Ste 205
Fountain Valley, CA 92708-4211

Mailing address

17195 Newhope St Ste 205
Fountain Valley, CA 92708-4211
Phone (949) 416-5533

National Provider Directory

National Provider Directory

Locations

17195 Newhope St
Ste 205
Fountain Valley, CA 92708
Phone (562) 846-3636

Practitioners & affiliated clinicians

Practitioners 6

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": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1609400837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17195 NEWHOPE ST STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084211",
            "telephone_number": "949-416-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17195 NEWHOPE ST STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084211",
            "telephone_number": "949-416-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "562-301-9176"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.