Healthcare Provider Details

I. General information

NPI: 1124992854
Provider Name (Legal Business Name): RYSE COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2025
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 ESSINGTON RD STE B1041
JOLIET IL
60435-1200
US

IV. Provider business mailing address

2405 ESSINGTON RD STE B1041
JOLIET IL
60435-1200
US

V. Phone/Fax

Practice location:
  • Phone: 815-901-4722
  • Fax:
Mailing address:
  • Phone: 815-901-4722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MONICA N SMITH
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: MSW, LCSW, PEL
Phone: 815-901-4722