Healthcare Provider Details

I. General information

NPI: 1538013453
Provider Name (Legal Business Name): STEADYRISE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 WYOMING AVE REAR
SCRANTON PA
18503-1227
US

IV. Provider business mailing address

441 WYOMING AVE REAR
SCRANTON PA
18503-1227
US

V. Phone/Fax

Practice location:
  • Phone: 570-209-9519
  • Fax: 272-249-2491
Mailing address:
  • Phone: 570-209-9519
  • Fax: 272-249-2491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROSS CAPOCCIA
Title or Position: CO-FOUNDER
Credential: MA, LPC
Phone: 570-209-5981