Healthcare Provider Details

I. General information

NPI: 1811843360
Provider Name (Legal Business Name): JOURNEY'S RISE COUNSELING, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 HURLBUT ST
ALBANY NY
12209-2111
US

IV. Provider business mailing address

42 HURLBUT ST
ALBANY NY
12209-2111
US

V. Phone/Fax

Practice location:
  • Phone: 203-962-2592
  • Fax:
Mailing address:
  • Phone: 203-962-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KEREN LEAH RUBIN
Title or Position: THERAPIST
Credential: LCSW
Phone: 203-962-2592