Organization Active NPI

Rise Consulting and Psychological Services LLC.

  • Counseling Psychologist
  • Chicago, IL
National Provider Identifier
1831888171
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
RISE CONSULTING AND PSYCHOLOGICAL SERVICES LLC.
Practice address
6323 N Avondale Ave Ste 245B
Chicago, IL 60631-1999
Phone
(312) 248-1647
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Miss Karmen Clay, PYSYDNPI 1447869169
Title
Owner
Phone
(937) 248-3320

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
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

6323 N Avondale Ave Ste 245B
Chicago, IL 60631-1999

Mailing address

1305 Glenridge CT N
Minooka, IL 60447-4572
Phone (937) 248-3320

National Provider Directory

National Provider Directory

Locations

6323 N Avondale Ave
Ste 245B
Chicago, IL 60631
Phone (312) 248-1647

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": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1831888171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 GLENRIDGE CT N",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604474572",
            "telephone_number": "937-248-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE 245B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311999",
            "telephone_number": "312-248-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE CONSULTING AND PSYCHOLOGICAL SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-248-3320",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PYSYD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.