NPIMap

Organization Active NPI

Arise Psychotherapy Services, Inc

  • Clinical Social Worker
  • East Providence, RI
National Provider Identifier
1679248108
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARISE PSYCHOTHERAPY SERVICES, INC
Practice address
410 N Broadway
East Providence, RI 02914-2025
Phone
(401) 320-4458
Fax
(401) 340-1572
NPI assigned
Aug 16, 2021
Last updated
Apr 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Authorized official

Name
Andrew D Leonard, LICSWNPI 1902413701
Title
Owner/Lead Clinician
Phone
(401) 320-4458

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

410 N Broadway
East Providence, RI 02914-2025

Mailing address

85 Kimberly Dr
West Greenwich, RI 02817-2001
Phone (401) 320-4458

Other practice location 1

132 Central St Ste 107D
Foxboro, MA 02035-2422
Phone (508) 203-7979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414000094 RI Part B Supplier - Clinic/Group Practice 4284020561 Receives reassigned benefits from 12 practitioners
Practice locations: East Providence, RI

National Provider Directory

National Provider Directory

Locations

132 Central St
Ste 107D
Foxboro, MA 02035
Phone (508) 203-7979

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745107200000",
    "number": "1679248108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KIMBERLY DR",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028172001",
            "telephone_number": "401-320-4458",
            "fax_number": "401-340-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142025",
            "telephone_number": "401-320-4458",
            "fax_number": "401-340-1572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Central St Ste 107D",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020352422",
            "country_code": "US",
            "telephone_number": "508-203-7979",
            "fax_number": "508-203-7712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARISE PSYCHOTHERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/LEAD CLINICIAN",
        "authorized_official_telephone_number": "401-320-4458",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.