MEDICARE: JENNIFER RITCHIE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	016463-01	NY

General Provider Information

NPI Number	:	1417738782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER RITCHIE LMHC

Provider Business Mailing Address
First Line	:	13 VALLEY VIEW DR
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-6185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 VALLEY VIEW DR
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-6185
Country	:	US
Telephone Number	:	603-732-7006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	01/22/2026

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