Healthcare Provider Details

I. General information

NPI: 1851150429
Provider Name (Legal Business Name): GARY 'SKIP' RITTER, PHD., LPCC, LADAC, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 BARBARA LOOP SE STE G
RIO RANCHO NM
87124-1088
US

IV. Provider business mailing address

1400 BARBARA LOOP SE STE G
RIO RANCHO NM
87124-1088
US

V. Phone/Fax

Practice location:
  • Phone: 505-596-0148
  • Fax: 505-213-4033
Mailing address:
  • Phone: 315-877-3104
  • Fax: 505-213-4033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: GARY ALLEN RITTER
Title or Position: PRESIDENT
Credential: LPCC, LADAC
Phone: 505-596-0148