Inspire to Rise, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INSPIRE TO RISE, INC.

Practice address

5927 Old Timuquana Rd
Jacksonville, FL 32210

Phone

(844) 937-4731

Fax

(904) 490-8394

NPI assigned

Sep 13, 2018

Last updated

Sep 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aida Pantaleon Seeraj

Title

Ceo/Owner

Phone

(844) 937-4731

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

Practitioners 3

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.

• Jessica Marie Johnson, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1124540588
  NPD
• Jean-Colt Belizaire, CAP, LMHC, PHD

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1376816637
  NPD (past)
• Akua Owusu, MD

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1104962257
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630713600000",
    "number": "1679056857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 OLD TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107889",
            "telephone_number": "844-937-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 OLD TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "844-937-4731",
            "fax_number": "904-490-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE TO RISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A",
        "authorized_official_last_name": "SEERAJ",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "PANTALEON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "844-937-4731",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101215400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF SAMH LICENSE FOR OUTPATIENT TREATMENT",
            "identifier": "LIC-1047531",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF SAMH LICENSE FOR CASE MANAGEMENT",
            "identifier": "LIC-1047530",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF SAMH LICENSE FOR GENERAL INTERVENTION",
            "identifier": "LIC-1047532",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.