NPIMap

Organization Active NPI

Rise, Inc

  • Voluntary or Charitable Agency
  • Boise, ID
National Provider Identifier
1720049190
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
RISE, INC
Practice address
3076 N Five Mile Rd
Boise, ID 83713-5215
Phone
(208) 376-4999
Fax
(208) 550-3264
NPI assigned
Mar 28, 2006
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Ms. Mabel Brito
Title
Accounts Receivable Manager
Phone
(480) 295-3327

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Voluntary or Charitable Agency 251V00000X NU Primary
Adult Day Care Clinic/Center 261QA0600X NU
Community/Behavioral Health Agency 251S00000X UT

Addresses

Primary practice location

3076 N Five Mile Rd
Boise, ID 83713-5215

Mailing address

PO Box 539
Orem, UT 84059-0539
Phone (801) 852-4581

Other practice location 1

4542 E Inverness Ave Ste 210
Mesa, AZ 85206-4623
Phone (866) 242-2714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519001565 ID Part B Supplier - Clinic/Group Practice 2365593795 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID; Mountain Home, ID

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

4542 E Inverness Ave
Ste 210
Mesa, AZ 85206
Phone (480) 926-6309

4554 E Inverness Ave
Ste 134
Mesa, AZ 85206
Phone (480) 503-2941

856 24th St
Ogden, UT 84401
Phone (801) 399-1496

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1720049190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840590539",
            "telephone_number": "801-852-4581",
            "fax_number": "800-699-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135215",
            "telephone_number": "208-376-4999",
            "fax_number": "208-550-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4542 E Inverness Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064623",
            "country_code": "US",
            "telephone_number": "866-242-2714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "480-295-3327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.