Active NPI
Rise Up House San Diego LLC
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1760327142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
- Last updated
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4340 W Overlook Dr
San Diego, CA 92115-6115
Mailing address
4340 W Overlook Dr
San Diego, CA 92115-6115
Phone (619) 564-2378
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1275798605
NPI Registry JSON
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": []
}
Other providers in San Diego, CA
Sources for this page
- 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.