MEDICARE: MS. RITA JOYCE RIPPENTROP LCPC

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	LCPC 180-001840	IL

General Provider Information

NPI Number	:	1811096258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RITA JOYCE RIPPENTROP LCPC

Provider Business Mailing Address
First Line	:	258 LONGVIEW DR
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60124-0231
Country	:	US
Telephone Number	:	224-628-2835
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	03/28/2025

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