NPIMap

Organization Active NPI

Rise Up Recovery Services Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, OH
National Provider Identifier
1720757339
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RISE UP RECOVERY SERVICES INC.
Practice address
602 Chillicothe St Ste 700
Portsmouth, OH 45662-4098
Phone
(740) 529-2105
Fax
(740) 529-1888
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Nycole Lyn KulpNPI 1982181657
Title
Cdca
Phone
(740) 529-2105

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

602 Chillicothe St Ste 700
Portsmouth, OH 45662-4098

Mailing address

602 Chillicothe St Ste 700
Portsmouth, OH 45662-4098
Phone (740) 529-2105

Other practice location 1

602 Chillicothe St Ste M104
Portsmouth, OH 45662-4039
Phone (740) 464-0631

National Provider Directory

National Provider Directory

Locations

602 Chillicothe St
Ste 700
Portsmouth, OH 45662
Phone (740) 529-2105

602 Chillicothe St
Ste 104
Portsmouth, OH 45662

Practitioners & affiliated clinicians

Practitioners 6

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": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1720757339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CHILLICOTHE ST STE 700",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624098",
            "telephone_number": "740-529-2105",
            "fax_number": "740-529-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CHILLICOTHE ST STE 700",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624098",
            "telephone_number": "740-529-2105",
            "fax_number": "740-529-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Chillicothe St Ste M104",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624039",
            "country_code": "US",
            "telephone_number": "740-464-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISE UP RECOVERY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "NYCOLE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CDCA",
        "authorized_official_telephone_number": "740-529-2105"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.