Carla Marie Marquez Ripley, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.010636 Issued in IL

Practice address

4745 Main St Ste 207
Lisle, IL 60532-1758

Phone

(630) 973-7451

NPI assigned

Sep 28, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Story Counseling, P.C.

  • Clinical Social Worker
  • Lisle, IL
  • NPI 1306248497
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1215412846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BELLER RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174605",
            "telephone_number": "630-973-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 MAIN ST STE 207",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321758",
            "telephone_number": "630-973-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPLEY",
        "first_name": "CARLA",
        "middle_name": "MARIE MARQUEZ",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Neurofeedback
• Katherine Ricamato, MAAT,LPC
• Matt M Rieger, P.A.
• Amy Rieselman, LAC.
• Paul David Rieselman, DC, FNP-BC
• Andrea Marie Rizzo, APN
• Paige Robinson, RDN
• Remington Rodela, DC
• David Rodemaker, PSYD
• Glenn Rogers, RPH

• Mental Health Counselor in Lisle, IL
• Providers in Lisle, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.