NPIMap

Organization Active NPI

Rise Mental Health and Wellness

  • Mental Health Counselor
  • Monticello, KY
National Provider Identifier
1639730955
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RISE MENTAL HEALTH AND WELLNESS
Practice address
735 W Columbia Ave
Monticello, KY 42633-1627
Phone
(606) 396-3488
Fax
(855) 223-4941
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Ashley Brake, LPCCNPI 1407277387
Title
Owner
Phone
(606) 396-3488

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

735 W Columbia Ave
Monticello, KY 42633-1627

Mailing address

735 W Columbia Ave
Monticello, KY 42633-1627
Phone (606) 396-3488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409003577 KY Part B Supplier - Clinic/Group Practice 8123466133 Receives reassigned benefits from 2 practitioners
Practice locations: Monticello, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1639730955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W COLUMBIA AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331627",
            "telephone_number": "606-396-3488",
            "fax_number": "855-223-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W COLUMBIA AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331627",
            "telephone_number": "606-396-3488",
            "fax_number": "855-223-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-396-3488",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.