Organization Active NPI

Rising Impact

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1699349332
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RISING IMPACT
Practice address
1821 University Ave W Ste 178
Saint Paul, MN 55104-2803
Phone
(612) 255-2534
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Mr. Atif Ihsan
Title
Program Manager
Phone
(612) 255-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1821 University Ave W Ste 178
Saint Paul, MN 55104-2803

Mailing address

419 Cedar Ave S Ste 257
Minneapolis, MN 55454-1032
Phone (612) 255-3523

National Provider Directory

National Provider Directory
Tax ID family
Rising Impact3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1699349332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CEDAR AVE S STE 257",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541032",
            "telephone_number": "612-255-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 178",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042803",
            "telephone_number": "612-255-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING IMPACT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "IHSAN",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "612-255-3523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.