Organization Active NPI

Rise Counseling Group, LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1689297483
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISE COUNSELING GROUP, LLC
Doing business as
Rise Counseling Center of Southeast Michigan
Practice address
2035 Hogback Rd Ste 100
Ann Arbor, MI 48105-9487
Phone
(734) 926-9950
Fax
(734) 215-9353
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mr. Mohamed Alsaidy, LMSW
Title
Clinical Director
Phone
(734) 926-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2035 Hogback Rd Ste 100
Ann Arbor, MI 48105-9487

Mailing address

180 Little Lake Dr Ste 3
Ann Arbor, MI 48103-6219
Phone (734) 926-5995

Other names 1

  • Rise Counseling Center of Southeast Michigan Doing business as

National Provider Directory

National Provider Directory

Locations

180 Little Lake Dr
Ste 3
Ann Arbor, MI 48103

2075 W Stadium Blvd
Unit 3643
Ann Arbor, MI 48106

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": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1689297483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LITTLE LAKE DR STE 3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036219",
            "telephone_number": "734-926-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059487",
            "telephone_number": "734-926-9950",
            "fax_number": "734-215-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "ALSAIDY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "734-926-5995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Counseling Center of Southeast Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rise Counseling Center of Southeast Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.