Healthcare Provider Details

I. General information

NPI: 1689291023
Provider Name (Legal Business Name): JESSICA RIPLEY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 HARDING ST STE 202
CARLSBAD CA
92008-1818
US

IV. Provider business mailing address

2365 SNEAD DR UNIT B
OCEANSIDE CA
92056-3826
US

V. Phone/Fax

Practice location:
  • Phone: 909-583-1197
  • Fax:
Mailing address:
  • Phone: 909-583-1197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number127571
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number67352
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: