Organization Active NPI

Rise Wellnes & Resource Center, LLC

  • Clinical Social Worker
  • Broken Arrow, OK
National Provider Identifier
1992646392
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RISE WELLNES & RESOURCE CENTER, LLC
Practice address
7955 S 296TH East Ave
Broken Arrow, OK 74014-5857
Phone
(918) 606-5575
NPI assigned
Apr 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Mr. Winfred Andrew Chiles II, LCSWNPI 1891436275
Title
Managing Member
Phone
(918) 606-5575

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7955 S 296TH East Ave
Broken Arrow, OK 74014-5857

Mailing address

7122 S Sheridan Rd
Ste 2 PMB 1066
Tulsa, OK 74133-2775
Phone (918) 606-5575

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1992646392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7122 S SHERIDAN RD",
            "address_2": "STE 2 PMB 1066",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332775",
            "telephone_number": "918-606-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 S 296TH EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740145857",
            "telephone_number": "918-606-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE WELLNES & RESOURCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "CHILES",
        "authorized_official_first_name": "WINFRED",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-606-5575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.