Organization Active NPI

Rise Above Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orem, UT
National Provider Identifier
1790229185
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
34485 Issued in UT
Legal business name
RISE ABOVE TREATMENT CENTER
Practice address
1039 S Orem Blvd
Orem, UT 84058-6979
Phone
(801) 623-0125
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Susan Leavitt, LCSW
Title
Owner/ Clinical Director
Phone
(801) 623-0125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 34485 UT
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 34485 UT Primary

Addresses

Primary practice location

1039 S Orem Blvd
Orem, UT 84058-6979

Mailing address

1039 S Orem Blvd
Orem, UT 84058-6979
Phone (801) 623-0125

National Provider Directory

National Provider Directory

Locations

1039 S Orem Blvd
Orem, UT 84058
Phone (385) 429-2126

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1790229185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586979",
            "telephone_number": "801-623-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586979",
            "telephone_number": "801-623-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ABOVE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-623-0125",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "UT",
            "license": "34485",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "34485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.