Individual provider Active NPI

Jessica A Ripley

  • Peer Specialist
  • Lisbon, OH
National Provider Identifier
1255966123
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.002558 Issued in OH
Practice address
964 N Market St
Lisbon, OH 44432-9363
Phone
(330) 424-1468
NPI assigned
Mar 11, 2020
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X APS.002558 OH
Peer Specialist 175T00000X APS.002558 OH Primary

Addresses

Primary practice location

964 N Market St
Lisbon, OH 44432-9363

Mailing address

605 Lakeview Dr
Cortland, OH 44410-1618
Phone (440) 563-8842

Other practice location 1

605 Lakeview Dr
Cortland, OH 44410-1618
Phone (330) 424-1468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APS.002558OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Recovery Center Community/Behavioral Health CurrentSince Jan 5, 2025 Accepting new patients
Family Recovery Center Community/Behavioral Health PastSince Jan 5, 2025 Accepting new patients

Locations

964 N Market St
Lisbon, OH 44432
Phone (330) 424-1468

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1255966123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 LAKEVIEW DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101618",
            "telephone_number": "440-563-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329363",
            "telephone_number": "330-424-1468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "OH",
            "postal_code": "444101618",
            "country_code": "US",
            "telephone_number": "330-424-1468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPLEY",
        "first_name": "JESSICA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "APS.002558",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.002558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.