Organization Active NPI

Rising Impact

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1922674829
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RISING IMPACT
Practice address
1821 University Ave W Ste 178
Saint Paul, MN 55104-2803
Phone
(701) 729-6691
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Atif Ihsan
Title
Program Manager
Phone
(701) 729-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1821 University Ave W Ste 178
Saint Paul, MN 55104-2803

Mailing address

1821 University Ave W Ste 178
Saint Paul, MN 55104-2803
Phone (701) 729-6691

National Provider Directory

National Provider Directory
Tax ID family
Rising Impact3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1821 University Ave W
Ste 178
Saint Paul, MN 55104
Phone (612) 255-2534

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1922674829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 178",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042803",
            "telephone_number": "701-729-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 178",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042803",
            "telephone_number": "701-729-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING IMPACT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "IHSAN",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "701-729-6691"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.