Organization Active NPI

Rising Up Counseling

  • Clinical Social Worker
  • Fair Lawn, NJ
National Provider Identifier
1639834765
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISING UP COUNSELING
Practice address
40-14 Knott Ter
Fair Lawn, NJ 07410-5322
Phone
(201) 889-0888
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Nataly Ebid, LCSWNPI 1134767106
Title
Licensed Clinical Social Worker
Phone
(201) 889-0888

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

40-14 Knott Ter
Fair Lawn, NJ 07410-5322

Mailing address

40-14 Knott Ter
Fair Lawn, NJ 07410-5322
Phone (201) 889-0888

Other identifiers 1

IdentifierTypeStateIssuer
1134767106MedicaidNJ

Other names 1

  • Health Care Services Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122002809 NJ Part B Supplier - Clinic/Group Practice 9830588375 Receives reassigned benefits from 1 practitioner
Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1639834765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-14 KNOTT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105322",
            "telephone_number": "201-889-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-14 KNOTT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105322",
            "telephone_number": "201-889-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING UP COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "EBID",
        "authorized_official_first_name": "NATALY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "201-889-0888",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134767106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.