Organization Active NPI

Rise Above Forensics Behavioral Assessment and Counseling LLC

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1811523202
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISE ABOVE FORENSICS BEHAVIORAL ASSESSMENT AND COUNSELING LLC
Practice address
339 E 3900 S Ste 230a
Salt Lake City, UT 84107-2437
Phone
(801) 710-2440
NPI assigned
Mar 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
John H SelinNPI 1184882722
Title
Managing Member
Phone
(801) 710-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

339 E 3900 S Ste 230a
Salt Lake City, UT 84107-2437

Mailing address

339 E 3900 S Ste 230a
Salt Lake City, UT 84107-2437

National Provider Directory

National Provider Directory

Locations

339 E 3900 S
Ste 230A
Salt Lake City, UT 84107
Phone (801) 710-2440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1811523202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E 3900 S STE 230A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E 3900 S STE 230A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072437",
            "telephone_number": "801-710-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ABOVE FORENSICS BEHAVIORAL ASSESSMENT AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "SELIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-710-2440"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.