Individual provider Active NPI

Robert Carl Ripley Jr., M.S., M.DIV., LPC

  • Professional Counselor
  • Arlington, VA
National Provider Identifier
1558869586
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003874 Issued in VA
Practice address
1701 N Bryan St
Arlington, VA 22201-4015
Phone
(703) 335-6172
NPI assigned
Jan 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 0701003874 VA Primary

Addresses

Primary practice location

1701 N Bryan St
Arlington, VA 22201-4015

Mailing address

4094 Majestic LN # 237
Fairfax, VA 22033-2104
Phone (703) 335-6172

Other practice location 1

8800 Sudley Rd
Manassas, VA 20110-4409
Phone (703) 335-6172 ext. 322

Other identifiers 1

IdentifierTypeStateIssuer
0701003874OtherVALICENSED PROFESSIONAL COUNSELOR

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701003874VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Counseling of Northern Virginia Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1558869586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 MAJESTIC LN # 237",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332104",
            "telephone_number": "703-335-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N BRYAN ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014015",
            "telephone_number": "703-335-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104409",
            "country_code": "US",
            "telephone_number": "703-335-6172 x322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPLEY",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S., M.DIV., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "0701003874",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.