Individual provider Active NPI

Eileen Ripsin, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1326419698
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-12793 Issued in AZ
Practice address
4420 S 32ND St
Phoenix, AZ 85040-2804
Phone
(602) 268-8748
Fax
(602) 253-1557
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-12793 AZ Primary

Addresses

Primary practice location

4420 S 32ND St
Phoenix, AZ 85040-2804

Mailing address

3450 N 3Rd St
Phoenix, AZ 85012-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624001769 OH Practitioner - Mental Health Counselor 0446793087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sophia Counseling Center IncGroup PAC ID 4385628346, 6 clinicians

Practice addresses (Care Compare)

5335 Silica Dr
Sylvania, OH 43560-1980
Phone (419) 824-3662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-12793AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sophia Counseling Center Inc CurrentSince May 6, 2024 Accepting new patients

Locations

5335 Silica Dr
Sylvania, OH 43560
Phone (419) 824-3662

6832 Convent Blvd
Sylvania, OH 43560
Phone (419) 824-3600

Organizations & group practices 1

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1326419698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 S 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402804",
            "telephone_number": "602-268-8748",
            "fax_number": "602-253-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPSIN",
        "first_name": "EILEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.