Individual provider Active NPI

Anna Chatham Ripple, LPC, LCASA

  • Professional Counselor
  • Davidson, NC
National Provider Identifier
1689010365
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8446 Issued in NC
Practice address
209 Delburg St
Suite 105
Davidson, NC 28036-6913
Phone
(704) 892-8003
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A8446 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 2525A NC
Professional Counselor 101YP2500X 8446 NC Primary

Addresses

Primary practice location

209 Delburg St
Suite 105
Davidson, NC 28036-6913

Mailing address

2500 Laburnum Ave
Charlotte, NC 28205-6131
Phone (336) 416-2588

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
2525ANCMDAddiction (Substance Use Disorder) Counselor
8446NCMDProfessional Counselor
A8446NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Firmly Rooted Counseling & Consulting, PLLC 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, 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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1689010365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LABURNUM AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056131",
            "telephone_number": "336-416-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DELBURG ST",
            "address_2": "SUITE 105",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280366913",
            "telephone_number": "704-892-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPLE",
        "first_name": "ANNA CHATHAM",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A8446",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2525A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.