NPIMap

Organization Active NPI

Arkham Rise Counseling PLLC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1962218487
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ARKHAM RISE COUNSELING PLLC
Practice address
4435 Florida National Dr
Lakeland, FL 33813-1516
Phone
(863) 216-8964
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Steven Delre, LMHCNPI 1699122754
Title
Owner/Counselor
Phone
(813) 777-0148

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4435 Florida National Dr
Lakeland, FL 33813-1516

Mailing address

6707 Crescent Woods Cir
Lakeland, FL 33813-4626
Phone (813) 777-0148

National Provider Directory

National Provider Directory

Locations

4435 Florida National Dr
Lakeland, FL 33813
Phone (863) 216-8964

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1962218487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 CRESCENT WOODS CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134626",
            "telephone_number": "813-777-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 FLORIDA NATIONAL DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131516",
            "telephone_number": "863-216-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKHAM RISE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "DELRE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "813-777-0148",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.