Organization Active NPI

Rise Counseling Services

  • Mental Health Counselor
  • Clarkston, MI
National Provider Identifier
1639600240
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801063313 Issued in MI
Legal business name
RISE COUNSELING SERVICES
Practice address
4545 Clawson Tank Dr
Suite 222
Clarkston, MI 48346-2581
Phone
(248) 972-7889
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Megan McClain
Title
Office Manager
Phone
(248) 972-7889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 6801063313 MI Primary

Addresses

Primary practice location

4545 Clawson Tank Dr
Suite 222
Clarkston, MI 48346-2581

Mailing address

4545 Clawson Tank Dr
Suite 222
Clarkston, MI 48346-2581
Phone (248) 972-7889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170331002065 MI Part B Supplier - Clinic/Group Practice 1456636596 Receives reassigned benefits from 1 practitioner
Practice locations: Clarkston, MI

National Provider Directory

National Provider Directory

Locations

4545 Clawson Tank Dr
Ste 222
Clarkston, MI 48346
Phone (248) 972-7889

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": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1639600240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CLAWSON TANK DR",
            "address_2": "SUITE 222",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462581",
            "telephone_number": "248-972-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CLAWSON TANK DR",
            "address_2": "SUITE 222",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462581",
            "telephone_number": "248-972-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-972-7889"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801063313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.