Active NPI
Rise Above Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Orem, UT
National Provider Identifier
1790229185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 34485
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.