Rise Up House San Diego LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RISE UP HOUSE SAN DIEGO LLC

Practice address

4340 W Overlook Dr
San Diego, CA 92115-6115

Phone

(619) 564-2378

NPI assigned

Apr 21, 2026

Organization subpart

No

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

Authorized official

Name

Paul V Stephens, BS

Title

Mr

Phone

(619) 236-9217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1760327142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W OVERLOOK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156115",
            "telephone_number": "619-564-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W OVERLOOK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156115",
            "telephone_number": "619-564-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP HOUSE SAN DIEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MR",
        "authorized_official_telephone_number": "619-236-9217",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.