{"npi":"1639834765","type":"NPI-2","status":"active","name":{"display":"Rising Up Counseling","other":[],"organization_name":"RISING UP COUNSELING","authorised_official":"Nataly Ebid"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"40-14 KNOTT TER","city":"FAIR LAWN","state":"NJ","postal_code":"074105322","country_code":"US","phone":"2018890888"},{"purpose":"MAILING","street_1":"40-14 KNOTT TER","city":"FAIR LAWN","state":"NJ","postal_code":"074105322","country_code":"US","phone":"2018890888"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1134767106","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20211122002809","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"9830588375"}]},"enumeration_date":"2021-11-03","last_updated":"2021-11-03","_meta":{"source":"NPPES","snapshot_date":"2021-11-03","doc_url":"https://findmynpi.com/api"}}