Rise to Renew PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RISE TO RENEW PLLC

Practice address

12930 James St Ste 140
Holland, MI 49424-8324

Phone

(616) 504-6166

Fax

(616) 226-4956

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Amy Wilson, LMSWNPI 1861015281

Title

Owner

Phone

(616) 504-6166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Amy Wilson

  • Clinical Social Worker
  • Holland, MI
  • NPI 1861015281
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1891661948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 JAMES ST STE 140",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248324",
            "telephone_number": "616-504-6166",
            "fax_number": "616-226-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 JAMES ST STE 140",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248324",
            "telephone_number": "616-504-6166",
            "fax_number": "616-226-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE TO RENEW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-504-6166",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Rinas
• Greg Rinckey, RPH
• Suzanne J Ringewold, LMSW
• Louis Anthony Rios
• Rise Therapeutic Solutions LLC
• Rite Aid of Michigan Inc
• River Optical, LLC
• Alberto Rivera Gutierrez, MD
• Eva Rivera
• Alexander James Robbins, LPC

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.