Rising Moon Therapeutic Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RISING MOON THERAPEUTIC SERVICES LLC

Practice address

4560 E Broadway Blvd Ste 223
Tucson, AZ 85711-3558

Phone

(520) 528-6534

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Jenna TesoNPI 1659849842

Title

President

Phone

(520) 528-6534

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jenna Teso, LCSW

  • Social Worker
  • Tucson, AZ
  • NPI 1659849842

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1922567775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 E BROADWAY BLVD STE 223",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113558",
            "telephone_number": "520-528-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 E BROADWAY BLVD STE 223",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113558",
            "telephone_number": "520-528-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING MOON THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TESO",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-528-6534"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Trauma Center LLC
• Rise Up Arizona Recovery and Counseling Services PLLC
• Rise Up Counseling LLC
• Rise, Incorporated
• Rising Medical LLC
• Rising Moon Therapy Services LLC
• Kindle Rising, M.S., CCC-SLP
• Monica V Risley, LCSW
• Kelly Ann Risner, EDS
• Ellen Louise Ristow, LCSW

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.