Rise PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RISE PLLC

Practice address

311 W Main St
Wilburton, OK 74578-4047

Phone

(918) 465-0909

Fax

(918) 465-0404

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Gary P Nelson, MS,LPC,LADC

Title

Ceo/Owner

Phone

(918) 448-0590

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1780929752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784047",
            "telephone_number": "918-465-0909",
            "fax_number": "918-465-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784047",
            "telephone_number": "918-465-0909",
            "fax_number": "918-465-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "918-448-0590",
        "authorized_official_credential": "MS,LPC,LADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Patricia Annette Raney
• Susan Ray
• Ricardo M. Valbuena, M.D., Inc.
• Rise Up Counseling LLC
• Billy Gene Roberts
• Jennifer Roberts
• Billie Rae Robertson, APRN
• Roys Discount Pharmacy LLC

• Community/Behavioral Health Agency in Wilburton, OK
• Providers in Wilburton, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.