Active NPI
Rising Strong Counseling LLC
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1952079402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RISING STRONG COUNSELING LLC
- Practice address
- 401 SE 6TH St Ste 110H
Evansville, IN 47713-1215 - Phone
- (812) 822-5967
- NPI assigned
- Aug 31, 2021
- Last updated
- Aug 31, 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
- Jessica N Roosevelt, LCSW
- Title
- Owner
- Phone
- (812) 822-5967
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
401 SE 6TH St Ste 110H
Evansville, IN 47713-1215
Mailing address
401 SE 6TH St Ste 110H
Evansville, IN 47713-1215
Phone (812) 822-5967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149023472 | Other | IL | STATE OF ILLINOIS |
| 34009242A | Other | IN | STATE OF INDIANA |
National Provider Directory
National Provider DirectoryLocations
401 SE 6th St
Ste 110H
Evansville, IN 47713
Phone (812) 822-5967
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Grayville, IL
- NPI 1467028241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630368000000",
"number": "1952079402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SE 6TH ST STE 110H",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131215",
"telephone_number": "812-822-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SE 6TH ST STE 110H",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131215",
"telephone_number": "812-822-5967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING STRONG COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A",
"authorized_official_last_name": "ROOSEVELT",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-822-5967",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS",
"identifier": "149023472",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF INDIANA",
"identifier": "34009242A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.