Healthcare Provider Details

I. General information

NPI: 1104546605
Provider Name (Legal Business Name): RISE ABOVE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S CHERRY ST SUITE 300
OLATHE KS
66061-3436
US

IV. Provider business mailing address

377 S OVERLOOK ST
OLATHE KS
66061-4567
US

V. Phone/Fax

Practice location:
  • Phone: 913-302-5819
  • Fax:
Mailing address:
  • Phone: 913-302-5819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROBIN LYNNE HUMBARD
Title or Position: OWNER/COUNSELOR
Credential: LCPC
Phone: 913-302-5819