Rise Up Mental Health Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RISE UP MENTAL HEALTH COUNSELING

Practice address

6824 64TH PL
Ridgewood, NY 11385-5250

Phone

(646) 750-5487

NPI assigned

Aug 29, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mira VasjariNPI 1376140467

Title

Mental Health Counselor/Owner

Phone

(646) 750-5487

Specialties & licenses 1

Addresses

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.

• Mira Vasjari

  • Mental Health Counselor
  • Ridgewood, NY
  • NPI 1376140467
  Authorized official Same address or phone

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1801671847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 64TH PL",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855250",
            "telephone_number": "646-750-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 64TH PL",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855250",
            "telephone_number": "646-750-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP MENTAL HEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "VASJARI",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/OWNER",
        "authorized_official_telephone_number": "646-750-5487"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgewood Optical, Inc.
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• Nadia Lia Rivera-Dejesus
• Emma Viloria Rivera, LPN
• Melvin Rivera, DDS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.