Active NPI
Rising Impact
- Community/Behavioral Health Agency
- Saint Paul, MN
National Provider Identifier
1922674829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Impact
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Minneapolis, MN
- NPI 1912412065
-
- Community/Behavioral Health Agency
- Saint Paul, MN
- NPI 1699349332
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.