Healthcare Provider Details

I. General information

NPI: 1225805153
Provider Name (Legal Business Name): GINGER RIPPEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA RIPPEY

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 CABEZON BLVD SE
RIO RANCHO NM
87124-1576
US

IV. Provider business mailing address

2441 CABEZON BLVD SE
RIO RANCHO NM
87124-1576
US

V. Phone/Fax

Practice location:
  • Phone: 505-717-1155
  • Fax: 505-717-1473
Mailing address:
  • Phone: 505-717-1155
  • Fax: 505-717-1473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2026-0474
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: