MEDICARE: COURAGEOUS COUNSELING SERVICES LLC

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	1041C0700X	Clinical Social Worker
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518760347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURAGEOUS COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	2325 DEAN ST STE 800C
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60175-4803
Country	:	US
Telephone Number	:	630-914-9318
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 DEAN ST STE 800C
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60175-4803
Country	:	US
Telephone Number	:	630-914-9318
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CLINICAL THERAPIST
Name	:	RITA JOYCE RIPPENTROP
Credential	:	LCPC
Telephone Number	:	630-914-9318

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	03/28/2025

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Directions to “COURAGEOUS COUNSELING SERVICES LLC ” Practice Location

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